Martell J H, Galante J O, Pierson R H, Jacobs J J, Rosenberg A G, Maley M
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
Chir Organi Mov. 1992 Oct-Dec;77(4):383-96.
One hundred-eleven patients (121 hips) treated with cementless total hip arthroplasty (Harris-Galante, Zimmer) were clinically and radiographically reviewed at an average follow-up of 67 months (55-79). 9,1% of the stems presented signs of loosening and 5 stems (4,1%) had to be revised. None of the acetabula required revision surgery for loosening. One socket was revised due to recurrent dislocation. Clinical results were evaluated according to Harris protocol: excellent 75,2%, good 12,4%, fair 5%, poor 3,3%. Ten (7,9%) intraoperative fractures of the proximal femur were observed: in 2 cases stem instability consequently occurred. Endosteal cortical erosions, not clinically evident, were observed in 8,3% of stable stems. A foreign body biological reaction to polyethylene or metallic debris is supposed as cause of erosions.
对111例（121髋）接受非骨水泥型全髋关节置换术（Harris - Galante，Zimmer）的患者进行了临床和影像学检查，平均随访67个月（55 - 79个月）。9.1%的股骨柄出现松动迹象，5个股骨柄（4.1%）需要翻修。髋臼无一因松动而需要翻修手术。1个髋臼杯因反复脱位而翻修。根据Harris标准评估临床结果：优75.2%，良12.4%，可5%，差3.3%。观察到10例（7.9%）术中股骨近端骨折：其中2例随后出现股骨柄不稳定。在8.3%稳定的股骨柄中观察到骨内膜皮质侵蚀，临床上不明显。推测侵蚀的原因是对聚乙烯或金属碎屑的异物生物反应。
