肾移植受者股骨头缺血性坏死后骨水泥型全髋关节置换术（THR）的长期生存分析
Long-term survivorship analysis of cemented total hip replacement (THR) after avascular necrosis of the femoral head in renal transplant recipients.
作者信息
Goffin Eric, Baertz Gregor, Rombouts Jean-Jacques
机构信息
Department of Nephrology, Université Catholique de Louvain, 1200 Brussels, Belgium.
出版信息
Nephrol Dial Transplant. 2006 Mar;21(3):784-8. doi: 10.1093/ndt/gfi233. Epub 2005 Dec 7.
BACKGROUND
We studied the long-term survival and the rate of revision of 93 consecutive total hip replacements (THRs) performed for avascular necrosis of the femoral head after renal transplantation from 1971 to 1988. Seventy-four were primary procedures while 19 hips had undergone previous surgery procedures on the same hip in the form of other conservative options.
METHODS
The patients of mean age of 38 years were analysed by the Kaplan-Meier method with revision for any reason as the end-point. The follow-up period averaged 216 months (range 1-332).
RESULTS
Thirteen hips were revised while 26 patients (36 hips) died during the follow-up period. The cumulative survival of the implant was 98.8% at 10 years and 63.8% at 20 years.
CONCLUSIONS
Cemented THR performed after renal transplantation is satisfactory and, at least for the first 10 post-operative years, the results are equivalent to those obtained in the general population with primary osteoarthritis.
背景
我们研究了1971年至1988年间因肾移植后股骨头缺血性坏死而连续进行的93例全髋关节置换术（THR）的长期生存率和翻修率。其中74例为初次手术，19例髋关节此前曾接受过以其他保守治疗方式在同一髋关节上进行的手术。
方法
采用Kaplan-Meier法对平均年龄为38岁的患者进行分析，以任何原因导致的翻修为终点。随访期平均为216个月（范围1 - 332个月）。
结果
随访期间有13例髋关节进行了翻修，26例患者（36个髋关节）死亡。植入物的累积生存率在10年时为98.8%，在20年时为63.8%。
结论
肾移植后进行的骨水泥型全髋关节置换术效果令人满意，至少在术后的前10年，其结果与原发性骨关节炎普通人群的结果相当。
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