Department of Paediatric Orthopaedics, Starship Children's Hospital, Auckland, New Zealand.
J Arthroplasty. 2012 Jun;27(6):1003-7. doi: 10.1016/j.arth.2012.01.001. Epub 2012 Feb 13.
We have investigated the results of primary total hip arthroplasty (THA) performed in patients with slipped upper femoral epiphysis (SUFE). Through the New Zealand Joint Registry, we identified all patients with SUFE undergoing primary THA (n = 117) and all patients with primary osteoarthritis (OA) undergoing primary THA (n = 40 589) between January 1, 1999, and December 31, 2008. Baseline information, operative characteristics, and postoperative outcomes were analyzed and compared between the SUFE and the OA groups. There was no significant difference in postoperative Oxford Hip Score or revision rate between the 2 groups. Our results support THA as a successful surgical option in the management of degenerative arthritis in SUFE, with comparable functional outcomes and revision rates to THA performed for primary OA.
我们研究了髋关节发育不良(SUFE)患者初次全髋关节置换术(THA)的结果。通过新西兰关节登记处,我们确定了在 1999 年 1 月 1 日至 2008 年 12 月 31 日期间接受初次 THA 的所有 SUFE 患者(n=117)和所有接受初次骨关节炎(OA)初次 THA 的患者(n=40589)。分析并比较了 SUFE 组和 OA 组的基线资料、手术特点和术后结果。两组患者的术后牛津髋关节评分或翻修率无显著差异。我们的结果支持 THA 作为 SUFE 退行性关节炎的成功手术选择,其功能结果和翻修率与 THA 治疗原发性 OA 相当。