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[陶瓷对陶瓷滑动型非骨水泥全髋关节置换术或半髋关节置换术的结果]

[Results with ceramic-on-ceramic sliding endoprosthesis completely or partially fixed without cement].

作者信息

Trepte C T, Gauer E F, Gärtner B M

出版信息

Z Orthop Ihre Grenzgeb. 1985 Mar-Apr;123(2):239-44. doi: 10.1055/s-2008-1045142.

DOI:10.1055/s-2008-1045142
PMID:4013485
Abstract

41 patients with ceramic total hip arthroplasty were followed up (on an average 2.8 years p. op., mean age 49.7 years). 9 prostheses were of type Lindenhof, 32 were of type Mittelmeier. In 27 cases cementless implantation was performed, 7 cases were reimplants. Hip scores according to Merle d'Aubigne reached 41 to 18 in 11 cases, 12 to 14 in 12 cases, and less than 12 in 17 cases. In cementless total hip arthroplasty a major problem appears to be associated with the anchorage of the femoral stem. Using a screw type fixation of the acetabular component seems to guarantee good anchorage, this was found also for reimplants. Doubts are raised about the use of ceramic on ceramic combination in arthroplasty.

摘要

对41例行陶瓷全髋关节置换术的患者进行了随访(平均术后2.8年,平均年龄49.7岁)。9个假体为林登霍夫型,32个为米特尔迈尔型。27例采用非骨水泥植入,7例为再次植入。根据梅勒·德奥比涅评分,髋关节评分在11例中达到41至18分,12例中达到12至14分,17例中低于12分。在非骨水泥全髋关节置换术中,一个主要问题似乎与股骨柄的固定有关。使用螺钉型髋臼部件固定似乎能保证良好的固定,再次植入的情况也是如此。对于关节置换术中陶瓷对陶瓷组合的使用存在疑问。

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引用本文的文献

1
The ceramic cup type Lindenhof. Results 10-14 years after implantation.林登霍夫陶瓷杯型。植入后10至14年的结果。
Arch Orthop Trauma Surg. 1996;115(3-4):167-70. doi: 10.1007/BF00434547.
2
Special problems of cementless fixation of total hip-joint endoprostheses with reference to the PM type.
Arch Orthop Trauma Surg (1978). 1988;107(3):158-71. doi: 10.1007/BF00451596.