Pellengahr C, Wegener B, Anetzberger H, Maier M, Müller P E, Dürr H R, Schulz C, Troullier H, Kühne L, Refior H J
Orthopädische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität, München, Germany.
Acta Chir Belg. 2004 Aug;104(4):413-7.
Compared to pressfit cups, little information exists about the results of screwed cups in hip arthroplasty. 51 cementless or hybrid (cemented stem) primary total hip replacements with a cementless corundium blasted titaniumn alloy threaded Aesculap Munich II type cup were examined with a mean follow up of 7.9 years. 23 of the patients were male and 28 patients were female. From these cups 22 were implanted on the right side and 29 on the left. The results were compared to 53 patients (28 male, 25 female, 29 right side, 24 left side) with the threaded Aesculap Munich I type cup, that has a smooth surface and a direct contact of bone with the polyethylene inlay. The mean follow up ws 10.2 years. The early and medium to long-term clinical and radiographic results show an encouraging improvement of the Merle d'Aubigné Score of the type II cup compared to the type I cup. Two of the Aesculap type Munich II cups had to be revised; four showed radiologic signs of loosening. In conclusion, the threaded Aesculap cup type Munich II seems to be a decisive advance in the development of threaded acetabular hip cups. The intermediate results exceed those from smooth-surface screwed rings and compare favourably with those from cemented cups and with those from cementless press-fit metal-backed cups.
与压配髋臼杯相比，关于螺纹髋臼杯在髋关节置换术中的结果的信息较少。对51例采用无骨水泥或混合型（骨水泥柄）初次全髋关节置换术且使用无骨水泥的经刚玉喷砂处理的钛合金螺纹Aesculap慕尼黑II型髋臼杯的患者进行了检查，平均随访时间为7.9年。其中23例患者为男性，28例为女性。这些髋臼杯中，22个植入在右侧，29个植入在左侧。将结果与53例使用表面光滑且骨与聚乙烯内衬直接接触的螺纹Aesculap慕尼黑I型髋臼杯的患者（28例男性，25例女性，29例右侧，24例左侧）进行比较，平均随访时间为10.2年。早期以及中长期的临床和影像学结果显示，与I型杯相比，II型杯的Merle d'Aubigné评分有令人鼓舞的改善。2个Aesculap慕尼黑II型杯需要翻修；4个显示出松动的放射学迹象。总之，螺纹Aesculap慕尼黑II型杯似乎是螺纹髋臼杯发展中的一个决定性进展。中期结果超过了表面光滑的螺纹环的结果，并且与骨水泥杯以及无骨水泥压配金属背衬杯的结果相比更具优势。
