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股骨骨重塑:骨水泥型和非骨水泥型全髋关节置换术的临床经验

Femoral bone remodeling: clinical experience with cemented and cementless total hip arthroplasty.

作者信息

Toni A, Sudanese A, Bueno A L, Marraro M D, Tabarroni M, Innao V, Giunti A

机构信息

Clinica Ortopedica dell'Università di Bologna.

出版信息

Chir Organi Mov. 1992 Oct-Dec;77(4):425-31.

PMID:1297576
Abstract

A radiographic study of femoral bone tissue remodeling around hip arthroplasty was carried out simultaneously in two series totalling 224 cementless and 77 cemented prostheses. Remodeling was analyzed by detailed visual evaluation of the radiographic assessment. The results show that the phenomenon of bone remodeling is still evolving more than 5 years after surgery. Bone demineralization of the proximal femur is more evident in cementless prostheses than in those stabilized with acrylic cement (24% vs. 12%). The preoperative state of mineralization significantly influences bone remodeling.

摘要

对髋关节置换周围股骨骨组织重塑进行了影像学研究,同时分为两个系列,共224个非骨水泥假体和77个骨水泥假体。通过对影像学评估的详细视觉评估来分析重塑情况。结果表明,骨重塑现象在术后5年多仍在演变。非骨水泥假体的股骨近端骨脱矿比用丙烯酸骨水泥固定的假体更明显(24%对12%)。术前矿化状态对骨重塑有显著影响。

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