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827 例髋臼翻修中使用小梁金属翻修壳的早期结果。

Early results of 827 trabecular metal revision shells in acetabular revision.

机构信息

COXA Hospital for Joint Replacement, Tampere, Finland.

出版信息

J Arthroplasty. 2011 Apr;26(3):342-5. doi: 10.1016/j.arth.2010.01.106. Epub 2010 Oct 6.

Abstract

We evaluated the survival of 827 acetabular revisions with Trabecular Metal Revision Shell using data from a nationwide arthroplasty register. The mean age of the patients was 69.1 years. The 3-year overall survivorship was 92% (95% confidence interval, 88-95), which coincides with earlier reports. Revision rate for aseptic loosening was only 2%. The most common reason for revision was dislocation of the prosthesis with or without malposition of the socket (60%). Age was found to have significant effect on cup survivorship: each additional year in age decreased the risk of revision by 2.4% (95 % confidence interval, 0.1-4.7; P = .044). We found no differences in survival rates between aseptic and septic revisions. Furthermore, sex, diagnosis, and hospital volume did not affect the survival.

摘要

我们使用全国关节置换登记处的数据评估了 827 例使用 Trabecular Metal Revision Shell 的髋臼翻修术的存活率。患者的平均年龄为 69.1 岁。3 年总体存活率为 92%(95%置信区间,88-95),与早期报告一致。无菌性松动的翻修率仅为 2%。翻修的最常见原因是假体脱位,伴有或不伴有髋臼位置不当(60%)。年龄对杯体存活率有显著影响:每增加 1 岁,翻修风险降低 2.4%(95%置信区间,0.1-4.7;P=.044)。我们没有发现无菌性和感染性翻修的生存率存在差异。此外,性别、诊断和医院容量对生存率没有影响。

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