采用多孔涂层解剖型髋关节假体的全髋关节置换术：11至18年的结果

Total hip arthroplasty with the porous-coated anatomic hip prosthesis: results at 11 to 18 years.

作者信息

Little Bryan S, Wixson Richard L, Stulberg S David

机构信息

Indiana University Medical Center, Indianapolis, USA.

出版信息

J Arthroplasty. 2006 Apr;21(3):338-43. doi: 10.1016/j.arth.2005.04.040.

DOI:10.1016/j.arth.2005.04.040

PMID:16627140

Abstract

The authors had previously reported good results with apparent fixation of a series of porous-coated anatomic hips at 2 to 4 years. In a larger series of 133 hips with porous-coated anatomic uncemented components, 91 hips in 82 patients were available for a follow-up of 11 years or greater. Although 3.1% of acetabular cups had migrated or had been revised at 2 to 4 years; at 11 to 18 years, there was 37% lysis, 21.7% migration, and 32.3% revision. For the femur at 2 to 4 years, there was 3.1% migration and 1.5% revision. At 11 to 18 years, there was 27.2% lysis (proximal only), 6.6% migration, and 3.2% revision. Survival analysis for migration or revision for the femoral was 94%, and for the acetabular component, 63%, deteriorating markedly after 10 years.

摘要

作者此前曾报道，一系列多孔涂层解剖型髋关节在2至4年时表面固定效果良好。在一个包含133例采用多孔涂层解剖型非骨水泥假体的更大样本队列中，82例患者的91个髋关节接受了11年或更长时间的随访。虽然在2至4年时，3.1%的髋臼杯出现了移位或进行了翻修；但在11至18年时，出现骨溶解的比例为37%，移位比例为21.7%，翻修比例为32.3%。对于股骨，在2至4年时，移位比例为3.1%，翻修比例为1.5%。在11至18年时，出现骨溶解的比例为27.2%（仅近端），移位比例为6.6%，翻修比例为3.2%。股骨移位或翻修的生存分析结果为94%，髋臼假体的生存分析结果为63%，10年后显著恶化。