Klinika 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. 2021 Oct 31;23(5):361-374. doi: 10.5604/01.3001.0015.4356.
Total cementless hip joint arthroplasty is universally recognized as a method of treatment of ad-vanced hip osteoarthritis. Multifaceted research by a wide group of implant specialists has led to the development of special implants that fulfill their purpose even in the most severe deformities of the hip joint. The aim of the study is to present and analyse the results of hip joint arthroplasty with the Antega anatomical stem.
The study enrolled 533 patients (342 women and 191 men) who underwent a total of 595 hip joint arthroplasties with the Antega anatomical stem. The mean age of the patients at surgery was 56.2 years (range: 20-87 years). The mean follow-up period was 7.3 years (range: 5-15.5 years).
Pre-operative Merle d'Aubigne-Postel scores (modified by Charnley) were poor in all patients. Mean post-operative improvement was 6.1 points. The outcomes were classified as excellent in 419 cases (70.4%), good in 102 cases (17.1%), satisfactory in 39 (6.6%) and poor in 34 cases. Poor results were usually associated with loosening of one of the prosthetic components. Heterotopic ossification was noted in 37 cases (6.2%). According to the Kaplan-Meier estimator, 10 years' survival probability was 89.9% for the whole implant and 96.1% for the stem alone.
全非骨水泥髋关节置换术被普遍认为是治疗晚期髋关节骨关节炎的一种方法。广泛的植入物专家进行了多方面的研究，开发出了特殊的植入物，即使在髋关节最严重的畸形情况下，这些植入物也能满足治疗需求。本研究旨在介绍和分析使用 Antega 解剖型柄进行髋关节置换的结果。
研究纳入了 533 例（342 名女性和 191 名男性）共 595 例接受 Antega 解剖型柄全髋关节置换术的患者。患者手术时的平均年龄为 56.2 岁（范围：20-87 岁）。平均随访时间为 7.3 年（范围：5-15.5 年）。
所有患者术前 Merle d'Aubigne-Postel 评分（Charnley 改良）均较差。术后平均改善 6.1 分。根据评分标准，结果评定为优 419 例（70.4%）、良 102 例（17.1%）、可 39 例（6.6%）、差 34 例。较差的结果通常与一个假体组件的松动有关。37 例（6.2%）出现异位骨化。根据 Kaplan-Meier 估计，全植入物 10 年生存率为 89.9%，单独柄的生存率为 96.1%。
