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伯明翰髋关节表面置换术:五至八年的结果。

Birmingham hip resurfacing: five to eight year results.

机构信息

Coxa Ltd, Hospital for Joint Replacement, Biokatu 6, 33520, Tampere, Finland.

出版信息

Int Orthop. 2011 Aug;35(8):1119-24. doi: 10.1007/s00264-010-1066-9. Epub 2010 Jun 19.

Abstract

Hip resurfacings have been performed in our hospital since May 2001, and in this retrospective study, we analysed the clinical and radiological outcome of the first 144 prostheses (126 patients). One hundred and seven patients have visited our hospital for regular follow-up examination; 16 are not in regular follow-up and were sent a Harris Hip Score (HHS) questionnaire. Three patients live abroad. Mean follow-up was six years. One patient was lost during follow-up. Four prostheses have been revised. The six year cumulative survival rate was 96.7%. Two female patients required revision for aseptic lymphocyte-dominated vascular associated lesions (ALVAL) and two male patients due for femoral head necrosis. Both reoperated female patients had cup inclination > 60°. Mean HHS in the follow-up was 95.3, and mean patient satisfaction 2.53 on a scale 0-3. Neck thinning > 10% was seen in seven hips and impingement in 12 hips.

摘要

自 2001 年 5 月以来,我院已开展髋关节表面置换术,在这项回顾性研究中,我们分析了前 144 例假体(126 例患者)的临床和影像学结果。107 例患者定期到我院进行随访检查;16 例患者未定期随访,我们向他们发送了 Harris 髋关节评分(HHS)问卷。3 例患者居住在国外。平均随访时间为 6 年。1 例患者在随访过程中失访。4 例假体进行了翻修。6 年累积生存率为 96.7%。2 例女性患者因无菌性淋巴细胞为主的血管相关病变(ALVAL)和 2 例男性患者因股骨头坏死需要翻修。2 例再次手术的女性患者的杯倾斜度>60°。随访时平均 HHS 为 95.3,平均患者满意度为 2.53(0-3 分)。7 髋存在颈部变薄>10%,12 髋存在撞击。

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