Baktır Ali, Karaaslan Fatih, Gencer Kürşat, Karaoğlu Sinan
Department of Orthopaedics and Traumatology, Modern Dünya Hospital, Kayseri, Turkey.
Department of Orthopaedics and Traumatology, Bozok University Faculty of Medicine, Yozgat, Turkey.
J Arthroplasty. 2015 May;30(5):827-34. doi: 10.1016/j.arth.2014.12.024. Epub 2015 Jan 14.
Seventy-four revisions of the femoral component featuring placement of a Wagner stem in 74 patients operated upon between 1995 and 2003 were reviewed. Clinical evaluation, radiological assessment, and survival analysis of revision stems were conducted. The mean follow-up duration was 14.4 years (range, 11 to 19 years). When failure was defined as stem removal for any reason, 4 of 64 stems had to be further revised during the follow-up period, yielding a cumulative stem survival rate of 93.8% (95% CI: 87.7% to 98.2%) at 18 years. The Wagner revision stem is an effective implant for revision hip surgery when bone stock is lacking. Use of the stem affords mechanical stability even when bone loss is massive.
回顾了1995年至2003年间对74例患者进行的74次股骨部件翻修手术，这些手术采用了瓦格纳柄植入。对翻修柄进行了临床评估、放射学评估和生存分析。平均随访时间为14.4年（范围11至19年）。当将失败定义为因任何原因取出柄时，64个柄中有4个在随访期间必须进一步翻修，18年时柄的累积生存率为93.8%（95%CI：87.7%至98.2%）。当骨量不足时，瓦格纳翻修柄是髋关节翻修手术的一种有效植入物。即使骨量大量丢失，使用该柄也能提供机械稳定性。
