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[骨水泥型韦勒式人工关节植入后的中期结果]

[Medium-term results following implantation of cemented Weller type endoprostheses].

作者信息

Trepte C T, Gauer E F

出版信息

Z Orthop Ihre Grenzgeb. 1987 Jan-Feb;125(1):42-7. doi: 10.1055/s-2008-1039675.

Abstract

102 cement-fixed endoprothesis of Type Weller I, which were followed up for six years on average, showed good results. We saw three aseptic loosenings and one septic loosening (1.5 years after implantation). Circumscribed progressive resorption of the cortical layer is a typical radiological sign of loosening of an endoprothesis. However, radiolucent lines do not prove aseptic loosening. Even stems with a collar may sinter without loosening. No correlation was found between the type of the hip affection (osteoarthritis, aseptic necrosis of the hip, rheumatoid arthritis etc.) and the result of the operation. Regarding our results we consider cement-fixation in total hip replacement as a good procedure in elder patients.

摘要

102例平均随访6年的韦勒I型骨水泥固定型人工关节,结果良好。我们观察到3例无菌性松动和1例感染性松动(植入后1.5年)。皮质层局限性进行性吸收是人工关节松动的典型放射学征象。然而,透亮线并不证明无菌性松动。即使是带颈的柄也可能烧结而不松动。髋关节病变类型(骨关节炎、股骨头无菌性坏死、类风湿性关节炎等)与手术结果之间未发现相关性。就我们的结果而言,我们认为在老年患者的全髋关节置换中,骨水泥固定是一种良好的手术方法。

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