Klinika Ortopedii i Ortopedii Dziecięcej Uniwersytetu Medycznego w Łodzi, Łódź, Polska / Department of Orthopaedics and Paediatric Orthopaedics, Medical University of Lodz, Poland.
Klinika Ortopedii i Ortopedii Dziecięcej Uniwersytetu Medycznego w Łodzi, Łódź, Polska / Department of Orthopaedics and Paediatric Orthopaedics, Medical University of Lodz, Poland.
Ortop Traumatol Rehabil. 2021 Jun 30;23(3):167-180. doi: 10.5604/01.3001.0014.9154.
The aim of this study is to present the early results of hip joint arthroplasty with the EXCEPTION anatomical stem (BIOMET).
The study enrolled 173 patients (110 women and 63 men) who underwent a total of 190 hip joint arthroplasties with the EXCEPTION anatomical stem. The mean age of the patients at surgery was 58.2 years (range: 28-82 years). The mean follow-up period was 7.3 years (range: 5-10.1 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 131 cases, good in 39, satisfactory in 13 and poor in 7 cases. Poor results were always associated with implant loosening. Heterotopic ossification was noted in 14 cases (7.4%). According to the Kaplan-Meier estimator, 5 years' survival probability was 96.31% for the whole implant and 99.47% for the stem alone.
本研究旨在展示使用 EXCEPTION 解剖型柄（BIOMET）进行髋关节置换术的早期结果。
本研究纳入了 173 例（110 名女性和 63 名男性）共 190 例髋关节置换术患者，均使用 EXCEPTION 解剖型柄。患者手术时的平均年龄为 58.2 岁（范围：28-82 岁）。平均随访时间为 7.3 年（范围：5-10.1 年）。
研究组所有患者术前 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 131 例、良 39 例、可 13 例、差 7 例。差的结果总是与植入物松动有关。14 例（7.4%）发生异位骨化。根据 Kaplan-Meier 估计器，整个植入物的 5 年生存率为 96.31%，单独的柄为 99.47%。
