年轻患者翻修全髋关节置换术中的非骨水泥型初次双接触柄。
The uncemented primary Bicontact stem in revision total hip arthroplasty in young patients.
作者信息
Thorey F, Lerch M, Kiel H, von Lewinski G, Stukenborg-Colsman C, Windhagen H
机构信息
Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, Hannover, Germany.
出版信息
Z Orthop Unfall. 2007 Sep-Oct;145 Suppl 1:S40-3. doi: 10.1055/s-2007-965659.
AIM
The purpose of this study was to evaluate the uncemented primary Bicontact stem (B.Braun-Aesculap, Tuttlingen, Germany) as a possible adequate alternative to other revision systems in revision total hip arthroplasty.
METHODS
Twenty patients aged up to 58 years (34-58 years, mean age 5.7 +/- 5.8 years) with minor bone defects underwent a revision total hip arthroplasty with the uncemented primary Bicontact stem. The patients were assessed clinically and radiologically at follow-up (follow-up: 8.0 +/- 3. years).
RESULTS
The postoperative Harris Hip Score, Motion and Pain Score improved significantly. There was only one further revision in these patients because of infection and only one case with mild stress shielding.
CONCLUSION
The uncemented primary Bicontact stem seems to be a good alternative to other revision systems in total hip revision arthroplasty in young patients.
目的
本研究旨在评估非骨水泥型初次使用的双接触柄（德国图特林根的贝朗医疗）作为全髋关节翻修术中其他翻修系统的一种可能合适的替代方案。
方法
20例年龄不超过58岁（34 - 58岁，平均年龄57±5.8岁）、存在轻微骨缺损的患者接受了使用非骨水泥型初次双接触柄的全髋关节翻修术。在随访时（随访时间：8.0±3.0年）对患者进行临床和影像学评估。
结果
术后Harris髋关节评分、活动度和疼痛评分显著改善。这些患者中仅因感染进行了1次再次翻修，仅有1例出现轻度应力遮挡。
结论
在年轻患者的全髋关节翻修术中，非骨水泥型初次双接触柄似乎是其他翻修系统的一个良好替代方案。
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