Wetherell R G, Hinves B L
Royal East Sussex Hospital, Hastings, England.
J Bone Joint Surg Br. 1990 Sep;72(5):788-93. doi: 10.1302/0301-620X.72B5.2211757.
In a 10-year prospective study, 561 displaced subcapital fractures of the femoral neck in 546 patients were treated with the Hastings bipolar hemiarthroplasty. Within six months of their operations, 148 patients had died. In 322 hips followed up, 243 with adequate serial radiographs separated by more than one year, only 14 (5.6%) showed acetabular erosion. A group of 91 had been reviewed for between three and nine years (mean, 4 years 10 months) and of these, 95% had no pain or slight pain only. Comparison with an earlier series of conventional hemiarthroplasties reported from this institution showed that the clinical results were similar, but that the erosion rate had been halved.
在一项为期10年的前瞻性研究中，对546例患者的561例股骨颈移位性头下型骨折采用黑斯廷斯双极半髋关节置换术进行治疗。术后6个月内，有148例患者死亡。在322例接受随访的髋关节中，243例有间隔超过1年的足够系列X线片，其中只有14例（5.6%）出现髋臼侵蚀。一组91例患者接受了3至9年（平均4年10个月）的复查，其中95%的患者无疼痛或仅有轻微疼痛。与该机构早期报道的一系列传统半髋关节置换术的比较表明，临床结果相似，但侵蚀率减半。
