Department of Orthopedic Surgery, National Medical Center, Jung-gu, Seoul, Republic of Korea.
J Arthroplasty. 2011 Oct;26(7):1057-60. doi: 10.1016/j.arth.2011.03.035. Epub 2011 May 17.
This study was undertaken to analyze the clinical and radiologic results of acetabular revision arthroplasty using an impacted morselized allograft and a cementless cup and was performed on 71 hips of 62 patients who were followed up for a minimum of 10 years (10 years to 14 years 8 months; mean, 12 years). The acetabular bone defects were classified using the American Academy of Orthopaedic Surgeons Committee on the Hip and Paprosky classifications. Cementless hemispherical cups were inserted via a press-fit technique, using an impacted morselized allograft. The mean Harris hip score at the last follow-up visit was 92. Only 3 cases were re-revised, and the 12-year survival rate was thus 95.8%. The study shows that acetabular revision arthroplasty using an impacted morselized allograft and a cementless cup is an excellent treatment option.
本研究旨在分析使用骨粒打压植骨髋臼翻修术和非骨水泥髋臼杯治疗髋臼骨缺损的临床和影像学结果,共纳入 62 例患者的 71 髋,随访时间至少 10 年(10 年至 14 年 8 个月;平均 12 年)。髋臼骨缺损采用美国矫形外科医师学会髋关节委员会和 Paprosky 分类法进行分类。通过压配技术使用骨粒打压植骨髋臼杯植入非骨水泥半球形髋臼杯。末次随访时的平均 Harris 髋关节评分为 92 分。仅 3 例患者再次翻修,12 年生存率为 95.8%。本研究表明,使用骨粒打压植骨髋臼翻修术和非骨水泥髋臼杯治疗髋臼骨缺损是一种优秀的治疗选择。