双动杯可降低股骨颈骨折关节置换术后的脱位率。
Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture.
机构信息
Department of Orthopedics, Lund University Hospital, Getingevagen 4, Lund, Sweden.
出版信息
BMC Musculoskelet Disord. 2010 Aug 6;11:175. doi: 10.1186/1471-2474-11-175.
Abstract
BACKGROUND
Hip dislocation after arthroplasty for femoral neck fractures remains a serious complication. The aim of our study was to investigate the dislocation rate in acute femoral neck fracture patients operated with a posterior approach with cemented conventional or dual articulation acetabular components.
METHODS
We compared the dislocation rate in 56 consecutive patients operated with conventional (single mobility) cemented acetabular components to that in 42 consecutive patients operated with dual articulation acetabular components. All the patients were operated via posterior approach and were followed up to one year postoperatively.
RESULTS
There were 8 dislocations in the 56 patients having conventional components as compared to no dislocations in those 42 having dual articulation components (p = 0.01). The groups were similar with respect to age and gender distribution.
CONCLUSIONS
We conclude that the use of a cemented dual articulation acetabular component significantly reduces the dislocation rates in femoral neck fracture patients operated via posterior approach.
摘要
背景
髋关节置换术后脱位仍然是股骨颈骨折的严重并发症。我们的研究旨在探讨后路固定的传统或双关节髋臼假体治疗急性股骨颈骨折患者的脱位率。
方法
我们比较了 56 例连续后路固定的传统（单活动度）水泥髋臼假体患者和 42 例连续后路固定的双关节髋臼假体患者的脱位率。所有患者均行后路手术，术后随访 1 年。
结果
56 例使用传统假体的患者中有 8 例脱位，而 42 例使用双关节假体的患者中无一例脱位（p = 0.01）。两组在年龄和性别分布方面相似。
结论
我们的结论是，在经后路手术治疗股骨颈骨折的患者中，使用水泥固定的双关节髋臼假体可显著降低脱位率。
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本文引用的文献
1
Femoral head size and wear of highly cross-linked polyethylene at 5 to 8 years.
Clin Orthop Relat Res. 2009 Dec;467(12):3290-6. doi: 10.1007/s11999-009-1038-9. Epub 2009 Aug 19.
2
Dislocation of total hip replacement in patients with fractures of the femoral neck.
Acta Orthop. 2009 Apr;80(2):184-9. doi: 10.3109/17453670902930024.
3
Effect of femoral head size on polyethylene wear and synovitis after total hip arthroplasty: a sonographic and radiographic study of 39 patients.
Acta Orthop. 2008 Aug;79(4):489-93. doi: 10.1080/17453670710015472.
4
Risk factors for revision for early dislocation in total hip arthroplasty.
J Arthroplasty. 2008 Sep;23(6):867-72. doi: 10.1016/j.arth.2007.07.009. Epub 2008 Mar 7.
5
The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years.
Int Orthop. 2009 Aug;33(4):927-32. doi: 10.1007/s00264-008-0589-9. Epub 2008 Jun 3.
6
Dislocation of hemiarthroplasty after femoral neck fracture: better outcome after the anterolateral approach in a prospective cohort study on 739 consecutive hips.
Acta Orthop. 2008 Apr;79(2):211-7. doi: 10.1080/17453670710014996.
7
Advances in the treatment of intracapsular hip fractures in the elderly.
Injury. 2007 Sep;38 Suppl 3:S24-34. doi: 10.1016/j.injury.2007.08.008.
8
Femoral head diameter affects the revision rate in total hip arthroplasty: an analysis of 1,720 hip replacements with 9-21 years of follow-up.
Acta Orthop. 2006 Oct;77(5):706-9. doi: 10.1080/17453670610012872.
9
Displaced femoral neck fractures in the elderly: outcomes and cost effectiveness.
Clin Orthop Relat Res. 2001 Feb(383):229-42. doi: 10.1097/00003086-200102000-00027.
10
Eight-year outcome associated with clinical options in the management of femoral neck fractures.
Clin Orthop Relat Res. 1998 Mar(348):59-66.
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