Wang Chao-Xin, Huang Zi-da, Wu Bai-Jian, Li Wen-Bo, Fang Xin-Yu, Zhang Wen-Ming
Department of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Orthop Surg. 2020 Jun;12(3):701-707. doi: 10.1111/os.12710. Epub 2020 Jun 3.
Our systematic review compiled multiple studies and evaluated survivorship and clinical outcomes of cup-cage construct usage in the management of massive acetabular bone defects. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Various combinations of "acetabular", "pelvis", "cup cage" and their corresponding synonyms were used to search relevant articles in the Cochrane, EMBASE, and PubMed databases. Basic information of the functional scores, implant revision rate, and complication rate were selected as outcomes for analysis. Finally, a total of 11 articles published between 1999 and 2019 were selected, which include 232 patients with an average age of 68.5 years (range, 30-90). The mean follow-up period was 48.85 months (range, 1-140). Our study shows that the cup-cage construct has a good clinical outcome with a low revision rate and a low complication rate. Improved clinical outcomes of cup-cage constructs were seen with a revision rate of 8% and an all-cause complication rate of 20%. The most commonly reported complication was dislocation, followed by aseptic loosening, infection, and nerve injuries. In summary, it is a promising method for managing large acetabular bone defects in total hip revision.
我们的系统评价汇总了多项研究，并评估了使用髋臼杯-髋臼加强环结构治疗严重髋臼骨缺损的生存率和临床结果。本系统评价按照系统评价和Meta分析的首选报告项目（PRISMA）指南进行。使用“髋臼”“骨盆”“髋臼杯-髋臼加强环”及其相应同义词的各种组合，在Cochrane、EMBASE和PubMed数据库中检索相关文章。选择功能评分、植入物翻修率和并发症发生率的基本信息作为分析结果。最终，共纳入1999年至2019年发表的11篇文章，其中包括232例患者，平均年龄68.5岁（范围30-90岁）。平均随访时间为48.85个月（范围1-140个月）。我们的研究表明，髋臼杯-髋臼加强环结构具有良好的临床结果，翻修率低，并发症发生率低。髋臼杯-髋臼加强环结构的临床结果有所改善，翻修率为8%，全因并发症发生率为20%。最常报告的并发症是脱位，其次是无菌性松动、感染和神经损伤。总之，这是全髋关节翻修中治疗大型髋臼骨缺损的一种有前景的方法。
