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全髋关节置换术后广泛多孔涂层柄的应力遮挡与临床结果的相关性。

Correlation between stress shielding and clinical outcomes after total hip arthroplasty with extensively porous coated stems.

机构信息

Department of Orthopaedic Surgery, Inha University Hospital, Incheon, Korea.

出版信息

J Arthroplasty. 2013 Dec;28(10):1728-30. doi: 10.1016/j.arth.2013.06.036. Epub 2013 Aug 9.

DOI:10.1016/j.arth.2013.06.036
PMID:23937922
Abstract

Relations between stress shielding and the clinical outcomes of total hip arthroplasty(THA) remain topics of debate. This study was performed on 51 patients that underwent unilateral primary THA with an extensively porous coated stem. Contralateral normal femurs were used as controls. Dual energy x-ray absorptiometry data was used to quantify bone mineral density(BMD) on proximal femurs. Clinical outcomes were estimated by using Harris hip scores (HHSs). BMD in operated sides were lower than in control sides. HHS and pain scores were not related to BMD changes. An extensively porous coated stem can be used for THA and that concerns regarding the effects of stress shielding of the proximal femur are unwarranted.

摘要

髋关节置换术后的应力遮挡与临床结果之间的关系仍然存在争议。本研究对 51 例接受单侧初次全髋关节置换术（THA）并使用广泛多孔涂层柄的患者进行了研究。对侧正常股骨作为对照。双能 X 射线吸收法（DXA）用于定量测量股骨近端的骨密度（BMD）。采用 Harris 髋关节评分（HHS）来评估临床结果。手术侧的 BMD 低于对照侧。HHS 和疼痛评分与 BMD 变化无关。广泛多孔涂层柄可用于 THA，且对股骨近端应力遮挡影响的担忧是没有必要的。

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