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解剖型 AURA II 柄骨水泥型全髋关节置换术的疗效。

Outcomes of Cementless Total Hip Arthroplasty with Anatomical AURA II Stem.

机构信息

Klinika Ortopedii i Ortopedii Dziecięcej Uniwersytetu Medycznego w Łodzi, Łódź, Polska / Department of Orthopaedics and Paediatric Orthopaedics, Medical University of Lodz, Lodz, Poland.

Klinika Ortopedii i Ortopedii Dziecięcej Uniwersytetu Medycznego w Łodzi, Łódź, Polska / Department of Orthopaedics and Paediatric Orthopaedics, Medical University of Lodz, Lodz, Poland.

出版信息

Ortop Traumatol Rehabil. 2020 Aug 31;22(4):227-236. doi: 10.5604/01.3001.0014.3459.

DOI:10.5604/01.3001.0014.3459
PMID:32986003
Abstract

BACKGROUND

The aim of the paper is to describe the outcomes of hip arthroplasty with the anatomical AURA II stem (BIOMET).

MATERIAL AND METHODS

The study enrolled 189 patients (105 women and 84 men) who underwent a total of 213 hip arthroplasty procedures with the anatomical AURA II stem. Mean age of the patients at surgery was 61.7 years (range: 21 to 76 years) and mean follow-up period was 131.9 months (11 years).

RESULTS

Pre-operative Merle d'Aubigne-Postel scores (modified by Charnley) of the study group were poor in all patients. Mean post-operative improvement in the scores was 6.8 points. Excellent results were obtained in 123 cases, good in 22, fair in 24 and poor in 44 cases. The poor results were always associated with acetabular cup loosening. A total of 13 (6.1%), patients developed heterotopic ossification. According to the Kaplan-Meier estimator, 10 years' survival probability was 76.19% for the whole endoprosthesis and 100% for the stem alone.

CONCLUSIONS

  1. Our follow-up data from a mean of 11 years show that the use of the anatomical AURA II stem results in a considerable reduction in hip pain and produces good and lasting clinical outcomes. 2. With good surgical technique and in the absence of complications, the risk of aseptic loosening is minimal.
摘要

背景

本文旨在描述使用解剖型 AURA II 柄(BIOMET)进行髋关节置换术的结果。

材料与方法

本研究纳入了 189 例(105 例女性和 84 例男性)共 213 例接受解剖型 AURA II 柄髋关节置换术的患者。患者手术时的平均年龄为 61.7 岁(范围:21-76 岁),平均随访时间为 131.9 个月(11 年)。

结果

研究组所有患者术前 Merle d'Aubigne-Postel 评分(Charnley 改良)均较差。术后评分平均改善 6.8 分。123 例获得优秀结果,22 例良好,24 例可,44 例差。差的结果总是与髋臼杯松动有关。共有 13 例(6.1%)患者发生异位骨化。根据 Kaplan-Meier 估计器,全关节假体 10 年生存率为 76.19%,单独柄的 10 年生存率为 100%。

结论

  1. 我们平均 11 年的随访数据表明,使用解剖型 AURA II 柄可显著减轻髋关节疼痛,并产生良好且持久的临床效果。2. 若手术技术良好且无并发症,无菌性松动的风险极小。

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