Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus C, Denmark.
Int Orthop. 2011 Apr;35(4):497-502. doi: 10.1007/s00264-010-0976-x. Epub 2010 Feb 27.
There has been renewed interest for metal-on-metal hip resurfacing due to improved design and manufacturing of implants, better materials, and enhanced implant fixation. In contrast to conventional total hip replacements, only a few clinical hip resurfacing trials using radiostereometry (RSA) have been reported, and solely for the Birmingham hip resurfacing arthroplasty. The purpose of this RSA trial was to describe the migration pattern of a new hip resurfacing system (ReCap) within the first two years after primary surgery. Twenty-six patients underwent total hip replacement. The patients were followed-up for up to 24 months and were evaluated with the use of radiostereometric measurements. The prosthesis showed mean translations and rotation close to zero. Maximum translation was seen along the transverse axis in the medial direction (0.13 mm). No statistically significant translation or rotation was seen at two-years follow-up, (t-test, p <0.05, translation or rotation).
由于植入物设计和制造的改进、更好的材料以及增强的植入物固定,人们对金属对金属髋关节表面置换重新产生了兴趣。与传统的全髋关节置换术相比,只有少数使用放射立体测量术(RSA)的临床髋关节表面置换试验被报道,而且仅针对 Birmingham 髋关节表面置换术。该 RSA 试验的目的是描述初次手术后头两年内新型髋关节表面置换系统(ReCap)的迁移模式。26 例患者接受了全髋关节置换术。患者接受了长达 24 个月的随访,并使用放射立体测量术进行评估。该假体的平均平移和旋转接近零。最大平移发生在内侧的横轴方向(0.13 毫米)。在两年的随访中,没有观察到统计学上显著的平移或旋转(t 检验,p<0.05,平移或旋转)。