初次全髋关节置换术中使用 Tribute 短柄非骨水泥型锥形柄的早期围手术期并发症发生率及下沉情况。
Early perioperative complication rates and subsidence with the Tribute short cementless, tapered stem in primary total hip arthroplasty.
作者信息
Attenello John, Chan Sean, Naito Kelvin, Saruwatari Michele, Saito Sean, Andrews Samantha, Nakasone Cass
机构信息
Department of Orthopaedic Surgery, University of Hawai'i, Honolulu, HI, USA.
John A. Burns School of Medicine, University of Hawaii, 651 Ilalo St, Honolulu, HI, 96813, USA.
出版信息
J Orthop. 2019 Jan 17;16(2):118-122. doi: 10.1016/j.jor.2019.01.002. eCollection 2019 Mar-Apr.
Abstract
This study examined early perioperative complications and subsidence following total hip arthroplasty (THA) with a short femoral stem. A retrospective review of 207 consecutive patients (247 hips) having undergone THA via the direct anterior approach produced only six perioperative complications: two intraoperative fractures, three perioperative femur fractures and one dislocation. Subsidence greater than 5 mm was observed in four hips but subsidence did not progress greater than 3 mm at the latest follow-up. Based on these results, cementless THA though the direct anterior approach with a short femoral stem provides a clinical and radiographic advantage while maintaining low complication rates.
摘要
本研究探讨了采用短柄股骨假体的全髋关节置换术（THA）围手术期早期并发症及假体下沉情况。对207例（247髋）经直接前路行THA的连续患者进行回顾性分析，结果显示仅出现6例围手术期并发症：2例术中骨折、3例围手术期股骨骨折和1例脱位。4髋出现假体下沉超过5 mm，但在最近一次随访时假体下沉未超过3 mm。基于这些结果，采用短柄股骨假体经直接前路行非骨水泥型THA在保持低并发症发生率的同时，具有临床和影像学优势。
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