全髋关节置换术中使用的第三代陶瓷对陶瓷Delta轴承的中期随访
Third generation delta ceramic-on-ceramic bearing for total hip arthroplasty at mid-term follow-up.
作者信息
Bistolfi Alessandro, Ferracini Riccardo, Aprato Alessandro, Massè Alessandro, Daghino Walter, Lea Sara, Artiaco Stefano, Lee Gwo-Chin
机构信息
AO Città Della Salute e Della Scienza. Department of Orthopeadics, Traumatology and Rehabilitative Medicine, CTO Hospital, Turin, Italy.
Hoelloker Orthopaedics, Turin Italy. University of the Studies of Genova. Genova, Italy.
出版信息
J Orthop. 2020 Aug 28;22:397-401. doi: 10.1016/j.jor.2020.08.023. eCollection 2020 Nov-Dec.
PURPOSE
to evaluate the results of Delta ceramic-on-ceramic (CoC) for total-hip-arthroplasty (THA).
METHODS
261 THA using Delta-CoC, retrospectively analyzed. A 36 mm head was used in 189 cases and a 32/40 mm in the others. The series have been compared to a group of 89 THA with Forte-CoC.
RESULTS
The Harris-Hip-Score improved from 49.1 ± 14.3 to 92.0 ± 8.9 (P < 0.001). In the Delta group there were one ceramic fracture and 2 dislocations. Two hips underwent revision. There were one revision in the Forte group for instability and one squeaking hip.
CONCLUSIONS
The new ceramic bearings provides a safe bearing for THA, with rare complications.
目的
评估Delta陶瓷对陶瓷（CoC）全髋关节置换术（THA）的结果。
方法
对261例使用Delta-CoC的THA进行回顾性分析。189例使用36毫米的股骨头，其余使用32/40毫米的股骨头。该系列与一组89例使用Forte-CoC的THA进行了比较。
结果
Harris髋关节评分从49.1±14.3提高到92.0±8.9（P<0.001）。Delta组有1例陶瓷骨折和2例脱位。2例髋关节进行了翻修。Forte组有1例因不稳定进行翻修，1例髋关节有摩擦声。
结论
新型陶瓷轴承为THA提供了安全的轴承，并发症罕见。
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