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克里斯蒂安森和查恩利人工关节置换松动中的机械因素。

Mechanical factors in loosening of Christiansen and Charnley arthroplasties.

作者信息

Alho A, Søreide O, Bjersand A J

出版信息

Acta Orthop Scand. 1984 Jun;55(3):261-6. doi: 10.3109/17453678408992352.

DOI:10.3109/17453678408992352
PMID:6741472
Abstract

A series of 96 Christiansen and 23 Charnley hip arthroplasties, mainly for osteoarthrosis, were followed for an average of 40 (15-93) months. Radiolucent zones at the cement bone interface and resorption of the calcar were more frequent in the Christiansen than in the Charnley hips. Medial and axial migration, and cement fracture often occurred concurrently, with a total frequency of 27/96 in the Christiansen and 4/23 in the Charnley subseries. Wide radiolucent zones in the acetabular cement bone interface were more frequent in the Christiansen hips. Six acetabular protrusions were observed in the Christiansen hips against none in the Charnley hips. The average Harris' hip scores were significantly higher for the Charnley than for the Christiansen hips. Reoperation for loosening was performed in two Charnley hips and 19 Christiansen hips.

摘要

对96例克里斯蒂安森髋关节置换术和23例查恩利髋关节置换术进行了随访,这些手术主要针对骨关节炎,平均随访时间为40(15 - 93)个月。克里斯蒂安森髋关节的骨水泥 - 骨界面处的透射线区和股骨距吸收比查恩利髋关节更常见。内侧和轴向移位以及骨水泥断裂常同时发生,在克里斯蒂安森组中总发生率为27/96,在查恩利亚组中为4/23。髋臼骨水泥 - 骨界面的宽透射线区在克里斯蒂安森髋关节中更常见。在克里斯蒂安森髋关节中观察到6例髋臼突出,而查恩利髋关节中未观察到。查恩利髋关节的平均哈里斯髋关节评分显著高于克里斯蒂安森髋关节。2例查恩利髋关节和19例克里斯蒂安森髋关节因松动进行了再次手术。

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引用本文的文献

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J Orthop Traumatol. 2010 Mar;11(1):37-45. doi: 10.1007/s10195-010-0082-2. Epub 2010 Mar 3.
2
Total hip replacement comparison between the McKee-Farrar and Charnley prostheses in a 5-year follow-up study.
Arch Orthop Trauma Surg (1978). 1986;105(3):158-62. doi: 10.1007/BF00433934.
3
Long-term results and survivorship of the McKee-Farrar total hip prosthesis.麦基-法拉尔全髋关节假体的长期结果及生存率
Arch Orthop Trauma Surg (1978). 1987;106(6):368-74. doi: 10.1007/BF00456872.