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全髋关节置换术的临床与X线评估。一种新的髋关节评分。

Clinical and roentgenographic assessment of total hip arthroplasty. A new hip score.

作者信息

Kavanagh B F, Fitzgerald R H

出版信息

Clin Orthop Relat Res. 1985 Mar(193):133-40.

PMID:3971612
Abstract

A new total hip scoring system is presented and applied in a group of patients who were treated by revision of total hip arthroplasty. The Mayo hip score combines clinical (80 points) and roentgenographic (20 points) data in a 100-point score. The roentgenographic input into the score decreased the percentage of good-to-excellent results because of the high frequency of roentgenographic signs of loosening. With the Harris rating, there were 63% good-to-excellent results, 12% fair results, and 26% poor results a mean of 4.25 years after component revision of total hip arthroplasty. With the Mayo system, there were 52% good-to-excellent results, 19% fair results, and 29% poor results a mean of 4.25 years after revision. A modification of the roentgenographic rating system would apply the Mayo hip score to noncemented total hip arthroplasties.

摘要

一种新的全髋关节评分系统被提出并应用于一组接受全髋关节置换翻修术治疗的患者。梅奥髋关节评分将临床数据(80分)和影像学数据(20分)相结合,满分为100分。由于影像学上松动迹象的高发生率,评分中的影像学因素降低了优至良结果的比例。采用哈里斯评分,在全髋关节置换组件翻修术后平均4.25年时,优至良结果占63%,尚可结果占12%,差结果占26%。采用梅奥系统,翻修术后平均4.25年时,优至良结果占52%,尚可结果占19%,差结果占29%。对影像学评分系统的一种改进是将梅奥髋关节评分应用于非骨水泥型全髋关节置换术。

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