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[双动杯在髋关节翻修置换术中的应用]

[Use of dual mobility cups for revision hip arthroplasty].

作者信息

Röhner E, Matziolis G

机构信息

Orthopädische Klinik des Universitätsklinikums Jena am Campus Eisenberg, Waldkrankenhaus "Rudolf Elle" GmbH, Klosterlausnitzer Straße 81, 07607, Eisenberg, Deutschland.

出版信息

Orthopade. 2017 Feb;46(2):114-120. doi: 10.1007/s00132-016-3383-1.

DOI:10.1007/s00132-016-3383-1
PMID:28097416
Abstract

The dual mobility cup (DMC) is an increasingly important tool not only in primary but also in revision total hip arthroplasty to prevent dislocation and eventually reduce postoperative complication rates. Various studies have shown survival rates with DMCs of up to 100% with an average dislocation rate of less than 1.5% after primary hip arthroplasty and a follow-up of 10 years. In revision surgery, survival rates of up to 99% were reported with dislocation rates between 0 and 10% after an average of 5 years after implantation. This article is intended to provide an overview of the principle and function of DMCs. Furthermore, indications as well as complications are presented.

摘要

双活动臼杯(DMC)不仅在初次全髋关节置换术中,而且在翻修全髋关节置换术中都是一种越来越重要的工具,用于防止脱位并最终降低术后并发症发生率。各种研究表明,初次髋关节置换术后使用DMC的10年生存率高达100%,平均脱位率低于1.5%。在翻修手术中,植入后平均5年的生存率高达99%,脱位率在0%至10%之间。本文旨在概述DMC的原理和功能。此外,还介绍了其适应证和并发症。

相似文献

1
[Use of dual mobility cups for revision hip arthroplasty].[双动杯在髋关节翻修置换术中的应用]
Orthopade. 2017 Feb;46(2):114-120. doi: 10.1007/s00132-016-3383-1.
2
[Treatment of acetabular bone defects in revision hip arthroplasty using the Revisio-System].[使用Revisio系统治疗髋关节翻修术中的髋臼骨缺损]
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Orthopade. 2017 Feb;46(2):142-147. doi: 10.1007/s00132-016-3380-4.
4
Acetabular revision using a dual mobility cup as treatment for dislocation in Charnley total hip arthroplasty.采用双动杯行髋臼翻修术治疗 Charnley 全髋关节置换术后脱位
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[Hip dislocation after revision arthroplasty : Risk assessment and treatment strategies].[翻修关节置换术后髋关节脱位:风险评估与治疗策略]
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Revision total hip arthroplasty with a Kerboull plate: comparative outcomes using standard versus dual mobility cups.翻修全髋关节置换术与 Kerboull 钢板:使用标准与双动杯的比较结果。
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7
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Double mobility cup total hip arthroplasty in patients at high risk for dislocation: a single-center analysis.双动杯全髋关节置换术治疗脱位高危患者:单中心分析
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Midterm survival analysis of a cemented dual-mobility cup combined with bone impaction grafting in 102 revision hip arthroplasties.102例髋关节翻修术中骨水泥型双动髋臼杯联合打压植骨的中期生存分析
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Dual mobility cups do not reduce the revision risk for patients with acute femoral neck fracture: A matched cohort study from the Swedish Arthroplasty Register.双动杯并不能降低急性股骨颈骨折患者的翻修风险:来自瑞典关节置换登记处的配对队列研究。
Injury. 2022 Feb;53(2):620-625. doi: 10.1016/j.injury.2021.11.033. Epub 2021 Nov 17.

引用本文的文献

1
Unstable Total Hip Arthroplasty: Should It Be Revised Using Dual Mobility Implants? A Retrospective Analysis from the R.I.P.O. Registry.不稳定全髋关节置换术:是否应使用双动式植入物进行翻修?来自R.I.P.O. 注册中心的回顾性分析。
J Clin Med. 2023 Jan 5;12(2):440. doi: 10.3390/jcm12020440.
2
[Revision total hip arthroplasty : Significance of instability, impingement, offset and gluteal insufficiency].[全髋关节置换翻修术:不稳定、撞击、偏心距及臀肌功能不全的意义]
Orthopade. 2019 Apr;48(4):315-321. doi: 10.1007/s00132-019-03704-x.

本文引用的文献

1
Total hip arthroplasty using a cementless dual-mobility cup provides increased stability and favorable gait parameters at five years follow-up.使用非骨水泥双动髋臼杯进行全髋关节置换术,在五年随访时可提高稳定性并改善步态参数。
Orthop Traumatol Surg Res. 2017 Feb;103(1):21-25. doi: 10.1016/j.otsr.2016.09.020. Epub 2016 Nov 24.
2
Five to thirteen year results of a cemented dual mobility socket to treat recurrent dislocation.采用骨水泥型双动髋臼杯治疗复发性脱位的5至13年随访结果
Int Orthop. 2017 Mar;41(3):513-519. doi: 10.1007/s00264-016-3343-8. Epub 2016 Nov 26.
3
Total hip arthroplasty with dual mobility cup in osteonecrosis of the femoral head in young patients: over ten years of follow-up.
年轻患者股骨头坏死采用双动髋臼杯行全髋关节置换术:超过十年的随访
Int Orthop. 2017 Mar;41(3):605-610. doi: 10.1007/s00264-016-3344-7. Epub 2016 Nov 25.
4
Dual-mobility arthroplasty failure: a rationale review of causes and technical considerations for revision.双动人工关节置换失败:翻修的原因及技术考量的理论性综述
Int Orthop. 2017 Mar;41(3):481-490. doi: 10.1007/s00264-016-3328-7. Epub 2016 Nov 21.
5
Dual-mobility cup in total hip arthroplasty in patients less than fifty five years and over ten years of follow-up : A prospective and comparative series.小于55岁患者全髋关节置换术中双动杯及超过10年的随访:一项前瞻性比较研究系列
Int Orthop. 2017 Mar;41(3):475-480. doi: 10.1007/s00264-016-3325-x. Epub 2016 Nov 8.
6
Dual-Mobility Articulations for Patients at High Risk for Dislocation.用于脱位高危患者的双动关节
J Arthroplasty. 2016 Sep;31(9 Suppl):131-5. doi: 10.1016/j.arth.2016.03.021. Epub 2016 Mar 17.
7
Intra-prosthetic dislocation of dual-mobility cups after total hip arthroplasty: potential causes from a clinical and biomechanical perspective.全髋关节置换术后双动杯的假体内部脱位:从临床和生物力学角度分析潜在原因
Int Orthop. 2016 May;40(5):901-6. doi: 10.1007/s00264-015-3000-7. Epub 2015 Oct 1.
8
Dual mobility cup in revision total hip arthroplasty: dislocation rate and survival after 5 years.翻修全髋关节置换术中双动杯:5年脱位率及生存率
Orthop Traumatol Surg Res. 2015 Sep;101(5):577-81. doi: 10.1016/j.otsr.2015.05.002. Epub 2015 Jun 29.
9
Dual mobility cups in total hip arthroplasty.全髋关节置换术中的双动杯
World J Orthop. 2014 Jul 18;5(3):180-7. doi: 10.5312/wjo.v5.i3.180.
10
[Diagnostics and therapy of luxation after total hip arthroplasty].[全髋关节置换术后脱位的诊断与治疗]
Orthopade. 2014 Jan;43(1):54-63. doi: 10.1007/s00132-013-2125-x.