Lausten G S, Vedel P
Injury. 1982 May;13(6):484-8. doi: 10.1016/0020-1383(82)90163-2.
In a retrospective study, 45 patients who had Monk hard-top endoprostheses inserted with cement because of fresh intracapsular fracture of the femoral neck, were compared with 61 patients with uncemented prostheses. The average age, age-distribution and the preoperative condition of the patients were well matched in the two groups. Thirty cemented and 39 uncemented cases were reviewed. The average time to follow-up was 29.9 months in the cemented group and 18.7 months in the uncemented group. A significantly lower mobility score and social performance score was found in the uncemented group when compared with the cemented one. No significant difference in the complaint of pain or in the range of movement of the hips was found between the two groups. On X-ray examination, no increased wear of the acetabular cartilage in the cemented group was found, but an increased tendency to loosening of the prosthesis was found in the uncemented group. In agreement with other studies it is concluded that the advantages to the patient with an intracapsular fracture of the femoral neck of having a cemented prosthesis outweigh the disadvantages.
在一项回顾性研究中，将45例因新鲜股骨颈囊内骨折而采用骨水泥固定植入Monk硬顶型人工关节的患者与61例采用非骨水泥型人工关节的患者进行了比较。两组患者的平均年龄、年龄分布及术前状况匹配良好。对30例骨水泥固定病例和39例非骨水泥固定病例进行了复查。骨水泥固定组的平均随访时间为29.9个月，非骨水泥固定组为18.7个月。与骨水泥固定组相比，非骨水泥固定组的活动评分和社会功能评分明显更低。两组在疼痛主诉或髋关节活动范围方面未发现显著差异。X线检查发现，骨水泥固定组髋臼软骨磨损未增加，但非骨水泥固定组假体松动倾向增加。与其他研究一致，得出的结论是，对于股骨颈囊内骨折患者，采用骨水泥固定假体的优点超过缺点。
