Deburge A, Lemoine A, de Grandmaison P, Lassale B
Rev Rhum Mal Osteoartic. 1981 Oct;48(10):627-33.
In this double-cup arthroplasty, only the acetabular cup is sealed with cement; the femoral cup is simply implanted into the femoral head and neck. This operation was performed on 67 hips. Complications were limited to one hip dislocation, one break in cemented seal with ossification, one isolated massive ossification, and one fracture of the femoral neck in a case of polyarthritis. In 45 of these cases, follow-up has been continued for at least one year. X-ray signs of injury are frequent and seen in one out of two cases, but are no more frequent than in classical total prothesis and are therefore not alarming. The result of this technique with respect to pain is the same as for total prothesis. Mobility of the hip is maintained and is markedly improved when the hip was stiff prior to the operation. The major indication for this operation is osteoarthritis of the hip in patients 40 to 65 years of age for whom medical treatment is ineffective and where osteotomy cannot be performed. One fundamental point must be underlined: this technique must not jeopardize possible later surgery for total prothesis, and surgical technique must therefore be adapted with this in mind.
在这种双杯关节成形术中，仅用骨水泥密封髋臼杯；股骨杯则直接植入股骨头和股骨颈。该手术共对67个髋关节进行。并发症仅限于1例髋关节脱位、1例骨水泥密封处因骨化出现断裂、1例孤立性大量骨化以及1例多关节炎患者的股骨颈骨折。其中45例患者的随访持续了至少一年。损伤的X线征象很常见，每两例中就有一例出现，但并不比传统全髋关节置换术更频繁，因此并不令人担忧。该技术在缓解疼痛方面的效果与全髋关节置换术相同。髋关节的活动度得以维持，对于术前僵硬的髋关节，活动度会有显著改善。该手术的主要适应证是40至65岁的髋关节骨关节炎患者，这些患者药物治疗无效且无法进行截骨术。必须强调一个基本要点：该技术绝不能危及日后可能进行的全髋关节置换手术，因此手术技术必须以此为前提进行调整。
