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髋关节置换术后的髋臼松动。241例长达15年的影像学观察

Socket loosening after hip arthroplasty. Radiographic observations in 241 cases up to 15 years.

作者信息

Carlsson A S, Gentz C F, Sanzén L

出版信息

Acta Orthop Scand. 1986 Apr;57(2):97-100. doi: 10.3109/17453678609000877.

DOI:10.3109/17453678609000877
PMID:3518330
Abstract

Serial radiographs of 241 consecutive, noninfected low friction arthroplasties performed between 1968 and 1972 were evaluated with respect to socket migration and the presence of radiolucencies, progressive or not. The number of intact sockets in 207 cases of arthrosis decreased slowly and, depending on their classification, approached 95-88 per cent about 10 years postoperatively. Contrary to previous reports, we could not observe any increase in the rate of loosening with time; half of the hips were observed for more than 10 years, and only a few cases of socket loosening were found beyond this point. In rheumatoid arthritis the number of intact sockets was significantly fewer--23 of 34--after about 10 years of service.

摘要

对1968年至1972年间连续进行的241例未感染的低摩擦关节成形术的系列X线片进行了评估,观察髋臼的移位情况以及有无透亮线(无论是否进展)。207例关节病患者中髋臼完整的数量缓慢减少,根据其分类,术后约10年时接近95% - 88%。与先前的报道相反,我们未观察到松动率随时间增加;一半的髋关节观察时间超过10年,在此之后仅发现少数髋臼松动病例。在类风湿性关节炎患者中,使用约10年后髋臼完整的数量明显较少,34例中仅有23例。

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引用本文的文献

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Survival of primary total hip arthroplasty in rheumatoid arthritis patients.类风湿关节炎患者初次全髋关节置换术的存活率。
Acta Orthop. 2010 Feb;81(1):60-5. doi: 10.3109/17453671003685418.
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Does sodium fluoride in bone cement affect implant fixation? Part I: bone tissue response, implant fixation and histology in nine rabbits.骨水泥中的氟化钠会影响植入物固定吗?第一部分:九只兔子的骨组织反应、植入物固定及组织学研究。
J Mater Sci Mater Med. 2002 Nov;13(11):1037-43. doi: 10.1023/a:1020336404407.
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Ten-year results of cemented Weller-type total hip arthroplasties. Analysis using different definitions of failure.
骨水泥型韦勒式全髋关节置换术的十年结果。采用不同失败定义进行分析。
Arch Orthop Trauma Surg. 1994;113(2):57-60. doi: 10.1007/BF00572905.
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Keeping up with orthopaedic epidemics.紧跟骨科领域的流行趋势。
Br Med J (Clin Res Ed). 1987 Aug 29;295(6597):514. doi: 10.1136/bmj.295.6597.514.