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发育性髋关节发育不良——后期全髋关节置换术效果良好:挪威关节置换登记处对7135例发育性髋关节发育不良后的初次全髋关节置换术与59774例特发性髋关节骨关节炎后的全髋关节置换术进行了0至15年的随访。

Developmental dysplasia of the hip--good results of later total hip arthroplasty: 7135 primary total hip arthroplasties after developmental dysplasia of the hip compared with 59774 total hip arthroplasties in idiopathic coxarthrosis followed for 0 to 15 years in the Norwegian Arthroplasty Register.

作者信息

Engesaeter Lars B, Furnes Ove, Havelin Leif I

机构信息

The Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway.

出版信息

J Arthroplasty. 2008 Feb;23(2):235-40. doi: 10.1016/j.arth.2007.03.023. Epub 2007 Oct 17.

Abstract

The purpose of the present article was to compare the results of primary total hip arthroplasty (THA) done because of developmental dysplasia of the hip (DDH) with the results of THA done because of idiopathic coxarthrosis (osteoarthritis) using data from the nationwide Norwegian Arthroplasty Register (NAR). In the period from 1987 to 2003, 84871 primary THAs were reported to the NAR. Of these, 6347 (7.5%) were performed because of sequelae after DDH, 788 (0.9%) because of sequelae after DDH with complete dislocation of the femoral head, and 59774 (71.0%) because of idiopathic coxarthrosis. The results of THAs after DDH were the same as those of THAs after idiopathic coxarthrosis after adjustments for younger age and for the use of more uncemented prostheses in patients with DDH.

摘要

本文的目的是利用挪威全国关节成形术登记处(NAR)的数据,比较因髋关节发育不良(DDH)而行初次全髋关节置换术(THA)的结果与因特发性髋关节炎(骨关节炎)而行THA的结果。在1987年至2003年期间,有84871例初次THA被报告至NAR。其中,6347例(7.5%)因DDH后遗症而行手术,788例(0.9%)因DDH后遗症且股骨头完全脱位而行手术,59774例(71.0%)因特发性髋关节炎而行手术。在对年龄较轻以及DDH患者更多使用非骨水泥假体进行调整后,DDH后THA的结果与特发性髋关节炎后THA的结果相同。

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