Oe Kenichi, Iida Hirokazu, Kawamura Hiroshi, Ueda Narumi, Nakamura Tomohisa, Okamoto Naofumi, Ueda Yusuke
Department of Orthopaedic Surgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata City, Osaka, 573-1010, Japan.
Int Orthop. 2016 Sep;40(9):1949-54. doi: 10.1007/s00264-015-3039-5. Epub 2015 Nov 14.
The aims of this retrospective study were to firstly introduce three practical bulk bone graft techniques based on acetabular morphology for dysplasia and secondly evaluate the long-term durability of acetabular reconstruction using those techniques combined with cemented total hip arthroplasty (THA).
The study comprised 101 consecutive THAs with a minimum follow-up of ten years; these procedures were categorised as being L shape (n = 58), Wall (n = 33) and D shape (n = 10) types.
At the last follow-up, all bone grafts acquired trabecular reorientation, and no evidence of revision for aseptic or radiological loosening was noted.
These bone graft techniques will be effective for improving the management of dysplasia in cemented THA by providing both acetabular reconstruction and cement containment.
这项回顾性研究的目的，一是介绍三种基于髋臼形态治疗发育不良的实用大块骨移植技术，二是评估使用这些技术结合骨水泥型全髋关节置换术（THA）进行髋臼重建的长期耐用性。
该研究纳入了101例连续接受THA且至少随访10年的患者；这些手术被分类为L形（n = 58）、壁形（n = 33）和D形（n = 10）类型。
在最后一次随访时，所有骨移植均实现了小梁重新定向，且未发现因无菌性或影像学松动而翻修的迹象。
这些骨移植技术通过提供髋臼重建和骨水泥包容，将有效地改善骨水泥型THA中发育不良的治疗。
