用于全髋关节置换翻修的远端固定柄。
Distal fixation stems for revision of total hip replacement.
作者信息
Lopreite Fernando, Perez Alamino Leonel, Simesen de Bielke Harold, Garabano German, Del Sel Hernán
机构信息
British Hospital of Buenos Aires, Argentina.
Sanatorio Modelo of San Miguel de Tucuman, Argentina.
出版信息
J Orthop. 2021 Feb 21;24:151-156. doi: 10.1016/j.jor.2021.02.031. eCollection 2021 Mar-Apr.
Abstract
The purpose of this study was to retrospectively assess patients treated with modular, non-cemented, tapered, fluted, distal fixation stems. We included patients with 24 months mínimum follow-up. Diagnosis that led to revisions were described. The radiographic analysis was made with preoperative, immediate postoperative and last control postoperative X-rays. Sixty-seven patients met inclusion criteria. We observed 59,7% (n=40) Osteointegration, 34,3% of Stable Fibrosis and 5,97% Unstable fibrosis. Stress Shielding was registered with 10,44% and Subsidence was observed in 34,3% of the patients. Modular, fluted, tapered, distal fixation stems have an excellent survival rates.
摘要
本研究的目的是回顾性评估接受模块化、非骨水泥型、锥形、带槽、远端固定柄治疗的患者。我们纳入了至少随访24个月的患者。描述了导致翻修的诊断情况。通过术前、术后即刻和末次随访术后X线片进行影像学分析。67例患者符合纳入标准。我们观察到59.7%（n = 40）的骨整合、34.3%的稳定纤维组织和5.97%的不稳定纤维组织。应力遮挡发生率为10.44%，34.3%的患者出现下沉。模块化、带槽、锥形、远端固定柄具有出色（优异）的生存率。 （注：“mínimum”疑似拼写错误，应为“minimum” ；“excellent survival rates”直译为“出色的生存率”，结合语境这里用“优异的生存率”表述可能更合适，但按要求未做修改）
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