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发育性髋关节发育不良的 MODULUS 干骺端螺钉:长期随访。

MODULUS Stem for Developmental Hip Dysplasia: Long-term Follow-up.

机构信息

Clinica Ortopedica e Traumatologica, Università degli Studi di Pavia, Fondazione IRCCS Policlinico San Matteo, Italy.

出版信息

J Arthroplasty. 2015 Oct;30(10):1747-51. doi: 10.1016/j.arth.2015.04.021. Epub 2015 Apr 24.

DOI:10.1016/j.arth.2015.04.021
PMID:25980775
Abstract

Between October 2001 and December 2010, 143 patients with developmental dysplasia underwent hip arthroplasty surgery using a conical stem with modular necks (MODULUS system, Lima Corporate, Villanova di San Daniele del Friuli, Italy). Thirty (21.0%) patients had both hips replaced, for a total of 173 implants. The mean age at the time of surgery was 55 years (range: 22-81 years). The mean follow-up was 87 months (range: 36-146 months); average Harris Hip Score increased from 42 (range: 23-65) preoperatively to 92 (range: 76-100) at the last follow-up. Stem revision was required in two cases. The MODULUS stem showed good long-term clinical and radiographic results, with a Kaplan-Meier survivorship of 97.6% (95% CI: 94.8-100.0%) at 8 years.

摘要

2001 年 10 月至 2010 年 12 月期间,143 例发育性髋关节发育不良患者接受了使用带模块颈锥形柄(MODULUS 系统,意大利 Villanova di San Daniele del Friuli 的 Lima Corporate)的髋关节置换手术。30 例(21.0%)患者双侧髋关节均接受置换,共 173 个植入物。手术时的平均年龄为 55 岁(范围:22-81 岁)。平均随访时间为 87 个月(范围:36-146 个月);术前平均 Harris 髋关节评分从 42 分(范围:23-65 分)增加到末次随访时的 92 分(范围:76-100 分)。有 2 例需要进行翻修。MODULUS 柄的长期临床和影像学结果良好,Kaplan-Meier 生存率为 8 年时的 97.6%(95%CI:94.8-100.0%)。

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