Piolanti Nicola, Andreani Lorenzo, Parchi Paolo Domenico, Bonicoli Enrico, Niccolai Francesco, Lisanti Michele
1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.
ScientificWorldJournal. 2014;2014:148592. doi: 10.1155/2014/148592. Epub 2014 Dec 28.
Acetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospective study was to evaluate the clinical and radiological results over the medium term (12-month follow-up mean 36, max 60) of isolated acetabular revisions surgery using a porous hemispheric revision shell matched with a cemented all-poly cup and large diameter femoral head (>32). 33 patients were enrolled. We collect any relevant data from the clinical board. Routine clinical and radiographic examinations were performed preoperatively; the postoperative follow-up was made at 1, 3, and 6 months and yearly thereafter. At the last available follow-up, we report satisfactory improvement of functional scores in all the patients; 2 patients (6.1%) showed thigh pain and only 4 hips (12.11%) presented mild groin pain; all the femoral components are well fixed and there were no potential or pending rerevisions. With bias due to the follow-up and to the retrospective design of the study, we report clinical, functional, and radiological satisfactory results.
髋臼杯松动与疼痛、功能减退及植入物不稳定相关。如果在股骨植入物位置满意且与骨牢固固定的情况下发生此类情况,则需进行单纯髋臼翻修手术。本单中心回顾性研究的目的是评估使用多孔半球形翻修髋臼杯与骨水泥全聚乙烯髋臼杯及大直径股骨头(>32)匹配进行单纯髋臼翻修手术的中期(平均随访12个月,最长60个月)临床和影像学结果。共纳入33例患者。我们从临床记录中收集了所有相关数据。术前进行了常规临床和影像学检查;术后随访在1、3、6个月进行,此后每年进行一次。在最后一次随访时,我们报告所有患者的功能评分均有满意改善;2例患者(6.1%)出现大腿疼痛,仅4髋(12.11%)出现轻度腹股沟疼痛;所有股骨部件均固定良好,没有潜在或即将进行的再次翻修。由于随访和研究的回顾性设计存在偏差,我们报告了临床、功能和影像学方面的满意结果。