Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing Level A, Leeds, UK.
J Arthroplasty. 2014 Oct;29(10):1983-90. doi: 10.1016/j.arth.2014.06.001. Epub 2014 Jun 12.
The outcome of THA following acetabular fracture was analyzed on 654 patients with a systematic review approach. An uncemented acetabular and femoral component was used in 80.1% and 59.8% of the cases respectively. The median Harris hip score was 88 points. In the early THA group, Kaplan-Meier survivorship analysis with any loosening, osteolysis or revision as the end point revealed that the 10-year cup survival was 81% whereas in the late THA group was 76% (P=0.287). The 10-year survival was 95% for the early stems and 85% for the late ones (P=0.001). Due to their complexity these fractures should be managed in highly specializing units where the expertise of arthroplasty and trauma reconstruction is available.
采用系统回顾的方法分析了 654 例髋臼骨折患者行全髋关节置换术（THA）的结果。分别有 80.1%和 59.8%的病例使用了非骨水泥髋臼和股骨组件。髋关节 Harris 评分中位数为 88 分。在早期 THA 组中，以任何松动、骨溶解或翻修为终点的 Kaplan-Meier 生存分析显示，10 年时髋臼的生存率为 81%，而晚期 THA 组为 76%（P=0.287）。早期的柄 10 年生存率为 95%，晚期的为 85%（P=0.001）。由于这些骨折的复杂性，应在具有关节置换和创伤重建专业知识的高度专业化的单位进行治疗。
