Vigdorchik Jonathan M, D'Apuzzo Michele R, Markel David C, Malkani Arthur L, Raterman Stephen, Sharpe Kipling P, Cornell Charles N, Westrich Geoffrey H
1 Hospital for Special Surgery, New York - USA.
Hip Int. 2015 Jan-Feb;25(1):34-8. doi: 10.5301/hipint.5000186. Epub 2015 Feb 3.
Dual mobility implant designs minimise the risk of dislocation without sacrificing range of motion. Between 1st September 2008 and 31st July 2011, 5 institutions examined early clinical outcomes of a new dual mobility bearing hip system implanted in 485 primary THAs in 452 patients. Patient demographics were 46% female, a mean age of 67 years and a mean BMI of 30. Complications at a minimum of 2 years after surgery included 1 femur fracture, 1 DVT and 4 unrelated deaths. There were no dislocations. For functional outcomes, Harris Hip Scores increased from 41 to 86 (p<0.001), while VAS pain scores decreased from 5.9 to 0.7 (p<0.001). Minimal complications, excellent early clinical outcomes and the absence of early dislocations demonstrate the improved stability of this dual mobility implant system.
双动式植入物设计在不牺牲活动范围的情况下将脱位风险降至最低。在2008年9月1日至2011年7月31日期间,5家机构对一种新型双动式髋关节系统的早期临床结果进行了研究,该系统植入了452例患者的485例初次全髋关节置换术中。患者人口统计学数据显示,女性占46%,平均年龄67岁,平均体重指数为30。术后至少2年的并发症包括1例股骨骨折、1例深静脉血栓形成和4例无关死亡。无脱位发生。在功能结果方面,Harris髋关节评分从41分提高到86分(p<0.001),而视觉模拟评分法疼痛评分从5.9分降至0.7分(p<0.001)。并发症极少、早期临床结果优异且无早期脱位,证明了这种双动式植入物系统的稳定性有所提高。