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全髋关节置换术后的噪声:一项病例对照研究。

Noise from total hip replacements: a case-controlled study.

机构信息

Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021, New Zealand.

University of Otago, Christchurch, New Zealand.

出版信息

Bone Joint Res. 2014 Jun;3(6):183-6. doi: 10.1302/2046-3758.36.2000274.

DOI:10.1302/2046-3758.36.2000274
PMID:24920252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4054012/
Abstract

OBJECTIVES

Our study aimed to examine not only the incidence but also the impact of noise from two types of total hip replacement articulations: ceramic-on-ceramic and ceramic-on-polyethylene.

METHODS

We performed a case-controlled study comparing subjective and objective questionnaire scores of patients receiving a ceramic-on-ceramic or a ceramic-on-polyethylene total hip replacement by a single surgeon.

RESULTS

There was a threefold higher incidence of noise from patients in the ceramic-on-ceramic group compared with the control group. The impact of this noise was significant for patients both subjectively and objectively.

CONCLUSIONS

This study reports a high patient impact of noise from ceramic-on-ceramic total hip replacements. This has led to a change in practice by the principal author. Cite this article: Bone Joint Res 2014;3:183-6.

摘要

目的

我们的研究不仅旨在观察两种全髋关节置换关节(陶瓷对陶瓷和陶瓷对聚乙烯)的噪声发生率,还旨在观察其噪声的影响。

方法

我们进行了一项病例对照研究,比较了由同一位医生进行的陶瓷对陶瓷或陶瓷对聚乙烯全髋关节置换术患者的主观和客观问卷调查评分。

结果

陶瓷对陶瓷组患者的噪声发生率是对照组的三倍。该噪声对患者的主观和客观影响均显著。

结论

本研究报告了陶瓷对陶瓷全髋关节置换产生的噪声对患者的重大影响。这导致主要作者改变了治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/666a8bc74deb/2000274-galleyfig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/2c05b0c2162a/2000274-galleyfig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/96af2bb547f2/2000274-galleyfig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/8d945fe56fc9/2000274-galleyfig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/4a5766ed9e0b/2000274-galleyfig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/77646cb045e3/2000274-galleyfig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/7adacbb90006/2000274-galleyfig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/14a59f4f784f/2000274-galleyfig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/0de9343688ec/2000274-galleyfig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/666a8bc74deb/2000274-galleyfig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/2c05b0c2162a/2000274-galleyfig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/96af2bb547f2/2000274-galleyfig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/8d945fe56fc9/2000274-galleyfig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/4a5766ed9e0b/2000274-galleyfig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/77646cb045e3/2000274-galleyfig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/7adacbb90006/2000274-galleyfig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/14a59f4f784f/2000274-galleyfig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/0de9343688ec/2000274-galleyfig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be3/4054012/666a8bc74deb/2000274-galleyfig9.jpg

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本文引用的文献

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2
Spectral characterization of squeaking in ceramic-on-ceramic total hip arthroplasty: comparison of in vitro and in vivo values.陶瓷-陶瓷全髋关节置换术中 squeaking 的频谱特征:体外与体内值的比较。
J Orthop Res. 2012 Feb;30(2):185-9. doi: 10.1002/jor.21510. Epub 2011 Aug 10.
3
Comparison of surgical outcomes and implant wear between ceramic-ceramic and ceramic-polyethylene articulations in total hip arthroplasty.
陶瓷对陶瓷全髋关节置换术后的髋关节弹响
Chin Med J (Engl). 2016 Aug 5;129(15):1861-6. doi: 10.4103/0366-6999.186654.
4
What Is the Frequency of Noise Generation in Modern Knee Arthroplasty and Is It Associated With Residual Symptoms?现代膝关节置换术中噪声产生的频率是多少,它与残留症状有关吗?
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Review on squeaking hips.关于髋关节弹响的综述。
World J Orthop. 2015 Nov 18;6(10):812-20. doi: 10.5312/wjo.v6.i10.812.
全髋关节置换术中陶瓷-陶瓷和陶瓷-聚乙烯关节的手术结果和假体磨损比较。
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