无骨水泥股骨颈假体 SPIRON 在男性中的临床状况和生活质量方面的平均 7 年随访结果。
Cementless femoral neck endoprosthesis SPIRON in men in aspects of clinical status and quality of life in an average 7-year follow-up.
机构信息
District Hospital of Orthopedics and Trauma Surgery in Piekary Śląskie, Bytomska, St. 62, 41-940, Piekary Śląskie, Poland.
Faculty of Health Sciences, Jan Długosz University in Częstochowa, Armii Krajowej St. 13/15, 41-200, Częstochowa, Poland.
出版信息
BMC Musculoskelet Disord. 2022 Aug 3;23(1):739. doi: 10.1186/s12891-022-05710-1.
BACKGROUND
We report the clinical evaluation, quality of life and pain assessment in patients who had a femoral neck SPIRON endoprosthesis.
METHODS
The study group consisted of 27 men in whom 35 femoral neck endoprosthesis were implanted (8 on the left side, 12 on the right side and 7 bilateral) due to idiopathic osteoarthritis of the hip (20 patients) or avascular femoral osteonecrosis (7 patients) in a mean 7-year follow-up.
RESULTS
The median pre-operative Harris Hip score (HHS) was 35.5 and post-operative 98.5 (p < 0.001). The median WOMAC HIP score was pre-operatively 57 and post-operatively 0 (p < 0.001). The median SF-12 score was pre-operatively 4 and post-operatively 33 (p < 0.001). The median pain assessment in VAS scale was 7 pre-operatively and 0 post-operatively (p < 0.001).
CONCLUSIONS
The results of all examined patients have changed significantly in every category showing that SPIRON endoprosthesis improved their quality of life and statistically reduced pain ailments. Moreover we have proved that higher BMI (> 30) is associated with worse operation outcomes.
背景
我们报告了股骨颈 SPIRON 假体患者的临床评估、生活质量和疼痛评估结果。
方法
研究组包括 27 名男性患者，在平均 7 年的随访中，由于髋部特发性骨关节炎（20 例）或股骨头无菌性坏死（7 例），共植入 35 个股骨颈假体（左侧 8 个，右侧 12 个，双侧 7 个）。
结果
术前 Harris 髋关节评分（HHS）的中位数为 35.5，术后为 98.5（p<0.001）。术前 WOMAC 髋关节评分中位数为 57，术后为 0（p<0.001）。SF-12 评分中位数术前为 4，术后为 33（p<0.001）。术前 VAS 量表疼痛评估中位数为 7，术后为 0（p<0.001）。
结论
所有检查患者的结果在每个类别中均有显著变化，表明 SPIRON 假体改善了他们的生活质量，并在统计学上减轻了疼痛。此外，我们已经证明较高的 BMI（>30）与较差的手术结果相关。
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