von Salis-Soglio G, Ghanem M, Meinecke I, Ellenrieder M, Klinger H-M, Kirchhoff C
Orthopädische Universitätsklinik, Liebigstraße 20, 04103 Leipzig, Deutschland.
Orthopade. 2010 Oct;39(10):960-7. doi: 10.1007/s00132-009-1569-5.
The modular endoprosthetic system Munich-Luebeck (MML) has been in clinical use since 1994. A total of 2.118 pelvic and lower extremity surgeries using the MML system were carried out up until 2010. The modular construction allows substituting or bridging any kind of bone defect. We analyzed 572 operative interventions, which were performed in 5 centers. The most frequent indications were tumors (50.3%) followed by revision arthroplasty due to loosening, periprosthetic fractures, and joint resection surgery due to infection (43.3%). Proximal and distal femoral replacement amounted to 78% of cases, whereas partial pelvic replacement accounted for 10.4% of the cases. Complications were reported in 27.27% of the cases, where dislocations (14.9% of the cases with simultaneous hip replacement) and infections (10.48%) were the most common, as expected. Revision surgery was necessary in 140 (24.8%) of the 572 patients, of which 68 were partial or total replacement of the implants, 16 removal of the implants and 10 above-knee amputations or rather exarticulations of the hip.
慕尼黑-吕贝克模块化内置假体系统（MML）自1994年起开始临床应用。截至2010年，共进行了2118例使用MML系统的骨盆和下肢手术。模块化结构允许替代或桥接任何类型的骨缺损。我们分析了在5个中心进行的572例手术干预。最常见的适应证是肿瘤（50.3%），其次是因松动、假体周围骨折进行的翻修关节成形术，以及因感染进行的关节切除手术（43.3%）。股骨近端和远端置换占病例的78%，而部分骨盆置换占病例的10.4%。27.27%的病例报告有并发症，其中脱位（在同期髋关节置换病例中占14.9%）和感染（10.48%）最为常见，正如预期的那样。572例患者中有140例（24.8%）需要进行翻修手术，其中68例为部分或全部更换植入物，16例为取出植入物，10例为膝上截肢或髋关节离断。
