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日本 Exeter 柄的多中心研究：10 年随访报告。

Multi-center study of use of the Exeter stem in Japan: a 10-year follow-up report.

机构信息

Department of Orthopedic Surgery, Nagareyama Central Hospital, 2-243-3 Higashihatsuishi, Nagareyama-shi, Chiba, 270-0114, Japan.

Center for Hip Arthroplasty, Senshunkai Hospital, Nagaokakyo-shi, Kyoto, 617-0826, Japan.

出版信息

Eur J Orthop Surg Traumatol. 2024 Aug;34(6):2949-2955. doi: 10.1007/s00590-024-04001-w. Epub 2024 Jun 1.

DOI:10.1007/s00590-024-04001-w
PMID:38822154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11377650/
Abstract

PURPOSE

Since the introduction of the Exeter stem for clinical use in Japan in 1996, the number of stems used has continued to rise owing to its favorable results. We investigated the outcomes of patients who had previously undergone total hip arthroplasty with the Exeter stem in Japan with a 10-year + follow-up period.

METHODS

This retrospective cohort study used clinical and radiographic data of 682 cases of primary total hip arthroplasty performed using the Exeter stem.

RESULTS

The mean postoperative follow-up period was 13.3 years. Femoral-side revision was required in 14 hips, with no cases of aseptic stem loosening-associated revision observed. Kaplan-Meier survival analysis predicted 97.3% 15-year survival when revision for any reason was used as the endpoint.

CONCLUSION

The obtained findings suggested the excellent long-term stability of the Exeter stem for primary total hip arthroplasty in Japan.

摘要

目的

自 1996 年 Exeter 柄在日本临床应用以来，由于其良好的效果，使用该柄的数量不断增加。我们对在日本接受 Exeter 柄初次全髋关节置换术的患者进行了长达 10 年+的随访，调查了这些患者的结局。

方法

本回顾性队列研究使用了 682 例初次使用 Exeter 柄行全髋关节置换术的临床和影像学资料。

结果

平均术后随访时间为 13.3 年。14 髋需要进行股骨侧翻修，未观察到无菌性柄松动相关的翻修。Kaplan-Meier 生存分析预测，以任何原因进行翻修为终点时，15 年的生存率为 97.3%。

结论

这些研究结果表明 Exeter 柄在日本初次全髋关节置换术中具有出色的长期稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/97ba7a2c85a8/590_2024_4001_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/ff935cc2d0b3/590_2024_4001_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/8b391338f739/590_2024_4001_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/2317ceb8d101/590_2024_4001_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/97ba7a2c85a8/590_2024_4001_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/ff935cc2d0b3/590_2024_4001_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/8b391338f739/590_2024_4001_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/2317ceb8d101/590_2024_4001_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c911/11377650/97ba7a2c85a8/590_2024_4001_Fig4_HTML.jpg

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2
Periprosthetic femoral fractures around the original cemented polished triple-tapered C-stem femoral implant: a consecutive series of 500 primary total hip arthroplasties with an average follow-up of 15 years.原骨水泥抛光三锥形 C 型柄股骨假体周围的股骨假体周围骨折：500 例初次全髋关节置换术的连续系列，平均随访 15 年。
Arch Orthop Trauma Surg. 2023 Jul;143(7):4511-4518. doi: 10.1007/s00402-022-04712-x. Epub 2022 Nov 29.
3
Unfavorable cortical hypertrophy potentially predisposes to periprosthetic "axe splitter" fracture in a collarless polished curved triple-tapered cemented stem: The time-dependent radiographic change in five SC-stem cases.无有利皮质骨增厚可能使非领圈抛光弧形三锥形骨水泥固定假体发生“斧头劈裂”骨折的风险增加：5 例 SC 假体的时间依赖性放射影像学变化。
J Orthop Sci. 2024 Jan;29(1):439-444. doi: 10.1016/j.jos.2022.09.004. Epub 2022 Sep 29.
4
Multi-centre study of cement-in-cement and in-cement femoral revision total hip arthroplasty using polished, stainless steel stems.多中心研究使用抛光不锈钢柄的水泥-水泥和水泥股骨翻修全髋关节置换术。
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