Katz R P, Callaghan J J, Sullivan P M, Johnston R C
Department of Orthopaedic, University of Iowa College of Medicine, Iowa City 52242, USA.
Clin Orthop Relat Res. 1995 Oct(319):178-83.
Seventy-nine consecutive femoral component revision total hip arthroplasties done in 73 patients from 1977 to 1983 using a distal intramedullary cement plug and a cement gun delivery system were evaluated to determine if improved results were obtained with newer cementing techniques. At a minimum 10-year followup interval, only 1 patient was not available for followup and 47 hips had minimum 10-year followup radiographs. The incidence of femoral rerevision for aseptic loosening was 9.5% for those hips with minimum 10-year followup and 5.4% for the entire group. The incidence of radiographic femoral failure (defined as a revision or definite or probable loosening) was 26.1% for those hips followed for a minimum of 10 years and 16.3% for the entire group. Compared with historical controls, these results represent an improvement over those reported with the use of earlier cementing techniques.
对1977年至1983年期间73例患者进行的79例连续股骨组件翻修全髋关节置换术进行评估，这些手术使用了远端髓内骨水泥塞和骨水泥枪输送系统，以确定采用更新的骨水泥技术是否能取得更好的效果。在至少10年的随访期内，只有1例患者无法进行随访，47髋有至少10年的随访X线片。在至少随访10年的髋中，无菌性松动导致股骨再次翻修的发生率为9.5%，在整个组中为5.4%。影像学上股骨失败（定义为翻修或明确或可能的松动）的发生率在至少随访10年的髋中为26.1%，在整个组中为16.3%。与历史对照相比，这些结果表明与使用早期骨水泥技术所报告的结果相比有所改善。
