Grace Hospital, Tauranga, New Zealand.
J Arthroplasty. 2011 Dec;26(8):1154-60. doi: 10.1016/j.arth.2011.03.028. Epub 2011 May 13.
Between 1987 and 1999, 540 revision total hip arthroplasties in 487 patients were performed at our institution using the femoral impaction grafting technique with a cemented femoral stem. All patients were prospectively followed up for 2 to 15 years postoperatively with no loss to follow-up. A total of 494 hips remained successfully in situ at an average of 6.7 years. The 10-year survival rate was 98.0% (95% confidence interval, 96.2-99.8) with aseptic loosening as the end point and 84.2% (95% confidence interval, 78.5-89.9) for reoperation for any reason. Indication for surgery and the use of any kind of reinforcement significantly influenced outcome (P < .001). This is the largest known series of revision THA with femoral impaction grafting, and the results support continued use of this technique.
1987 年至 1999 年期间，我们机构采用带骨水泥固定股骨柄的股骨打压植骨技术对 487 例患者的 540 例翻修全髋关节置换术进行了前瞻性研究，所有患者术后均获得 2 至 15 年的随访，无失访病例。平均随访 6.7 年后，共有 494 髋仍保持原位，无松动。以无菌性松动为终点，10 年生存率为 98.0%（95%置信区间，96.2-99.8），因任何原因再次手术的 10 年生存率为 84.2%（95%置信区间，78.5-89.9）。手术适应证和任何类型的加固物的使用显著影响了结果（P<0.001）。这是已知的最大规模的采用股骨打压植骨技术的翻修全髋关节置换术系列研究，结果支持继续使用该技术。
