Papalia R, Di Martino A, Caldaria A, Zampogna B, Denaro V
Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Musculoskelet Surg. 2019 Dec;103(3):215-220. doi: 10.1007/s12306-019-00589-z. Epub 2019 Jan 23.
The aim of this study is to conduct a systematic review of clinical outcomes and complications of modular neck THA among Italian cohorts.
Only reviewed publications focused on Italian cohort patients in English language were considered for inclusion. Studies were included if they involved patients who underwent total hip replacement surgery with modular necks, and reported aetiology or survival rate or bone stability or clinical scores or complications.
The studies included in our search reported data on 3714 patients and 3856 hips. Most of the studies were from high-volume surgery centres. The most frequent diagnosis was osteoarthritis that occurred in 2910 cases (75.9%). The average survival rate and average bone stability were 97.20% and 99.37%, respectively. The average HHS improved from 42.1 prior to surgery to 89.52 after surgery. Studies included in our search reported 40 complications. The most frequently reported complication was dislocation (40%).
This review showed excellent survival rate and bone stability and good clinical outcomes in Italian cohort patients treated with modular neck THA, and these clinical results are comparable with international cohort rates. This review suggests that modular implants represent a very satisfying choice when practised by expert orthopaedic joint surgeons.
本研究旨在对意大利队列中模块化颈全髋关节置换术（THA）的临床结果和并发症进行系统评价。
仅纳入以英文发表的聚焦于意大利队列患者的综述性出版物。若研究涉及接受模块化颈全髋关节置换手术的患者，并报告了病因、生存率、骨稳定性、临床评分或并发症，则纳入该研究。
我们检索到的研究报告了3714例患者和3856个髋关节的数据。大多数研究来自高手术量的中心。最常见的诊断是骨关节炎，共2910例（75.9%）。平均生存率和平均骨稳定性分别为97.20%和99.37%。平均髋关节 Harris 评分（HHS）从术前的42.1提高到术后的89.52。我们检索到的研究报告了40例并发症。最常报告的并发症是脱位（40%）。
本综述显示，在接受模块化颈THA治疗的意大利队列患者中，生存率和骨稳定性极佳，临床结果良好，这些临床结果与国际队列的结果相当。本综述表明，当由专业的骨科关节外科医生实施时，模块化植入物是一个非常令人满意的选择。
