Casserly H B, Healy B
Royal Liverpool Hospital.
Ir J Med Sci. 1991 Jan;160(1):5-7. doi: 10.1007/BF02944722.
The Monk Hard-Top prosthesis was inserted without operative mortality in 85 patients, with an average age of 81 years, presenting with Intracapsular Fracture of the Femoral Neck, Garden grade 3 or 4. At review, 60% of the patients walked unaided, without pain. Only 6% of those reviewed had a poor functional outcome. Fifty-three per cent of the patients returned to their previous environment and 47% had died 6 months postoperatively. The prosthesis is more difficult to dislocate, once inserted properly, than either a Thompson Hemiarthroplasty or a Primary Total Hip replacement. It is less likely to sustain Component Disassembly than other types of bipolar hemiarthroplasty. The Monk Hard Top Prosthesis is recommended for the treatment of Garden grade 3 or 4 Intracapsular Fractures of the Femoral Neck in elderly people.
在85例平均年龄81岁、患有股骨颈囊内骨折（Garden 3级或4级）的患者中植入了Monk硬顶假体，手术无死亡病例。复查时，60%的患者无需辅助即可行走且无疼痛。接受复查的患者中只有6%功能结局较差。53%的患者回到了先前的生活环境，47%在术后6个月死亡。一旦正确植入，该假体比汤普森半髋关节置换术或初次全髋关节置换术更难脱位。与其他类型的双极半髋关节置换术相比，它发生组件拆卸的可能性更小。推荐使用Monk硬顶假体治疗老年人的股骨颈Garden 3级或4级囊内骨折。
