Klinice Ortopedii i Ortopedii Dziecięcej Uniwersytetu Medycznego w Łodzi, Łódź, Polska / Department of Orthopaedics and Paediatric Orthopaedics of the Medical University of Lodz, Poland.
Klinice Ortopedii i Ortopedii Dziecięcej Uniwersytetu Medycznego w Łodzi, Łódź, Polska / Department of Orthopaedics and Paediatric Orthopaedics of the Medical University of Lodz, Poland.
Ortop Traumatol Rehabil. 2020 Oct 31;22(5):327-337. doi: 10.5604/01.3001.0014.4216.
The aim of this study is to analyse the outcomes of total cementless hip joint arthroplasty in the treatment of advanced hip osteoarthritis following Perthes' disease in childhood.
The study enrolled 56 patients (15 women and 41 men) who underwent a total of 61 hip joint arthroplasties for coxarthrosis following Perthes' disease. The mean age of the patients at surgery was 46.7 years (range 21-67 years). The mean follow-up period was 13.7 years.
Pre-operative Merle d'Aubigne-Postel scores (modified by Charnley) of the study group were poor in all patients. Mean post-operative improvement was 6.7 points. The outcomes were classified as excellent in 25 cases, good in 16, satisfactory in 16 and poor in 9 cases. Poor results were always related to loosening of the acetabular cup. Heterotopic ossification was noted in 7 cases. According to the Kaplan-Meier estimator, 10 years' survival probability was 85.24% for the whole implant and 100% for the stem.
本研究旨在分析儿童期佩特氏病后晚期髋关节骨关节炎全非骨水泥髋关节置换术的治疗效果。
本研究共纳入 56 例（15 名女性和 41 名男性）因佩特氏病导致髋关节骨关节炎行全髋关节置换术的患者，共 61 髋。患者手术时的平均年龄为 46.7 岁（21-67 岁）。平均随访时间为 13.7 年。
研究组患者术前 Merle d'Aubigne-Postel 评分（Charnley 改良）均较差。术后平均改善 6.7 分。结果评定为优 25 例、良 16 例、可 16 例、差 9 例。差的结果总是与髋臼杯松动有关。7 例出现异位骨化。根据 Kaplan-Meier 估计器，全植入物 10 年生存率为 85.24%，柄 100%。
