Krüger-Franke M, Birk M, Rosemeyer B
Staatlich Orthopädische Klinik der Ludwig-Maximilians-Universität München.
Z Orthop Ihre Grenzgeb. 1995 Jul-Aug;133(4):374-9. doi: 10.1055/s-2008-1039811.
The great number of hip revision arthroplasties and the cementless fixation of arthroplasties has led to more and cementless hip revision operations with bone transplantation. This retrospective study shows the results of a clinical and radiological follow-up of 34 patients with an average age of 71 years and 4 months at their hip revision arthroplasty. The subjective and clinical result in the Harris-Hip-Score 3 years and 9 months (1 year 4 months-6 years 3 months) after surgery shows 67% of the patients content with the result of the revision arthroplasty. The Harris-Hip-Score shows an average of 41.1 points preoperatively and 73.2 points at the follow-up examination. The loosening-rate was 11.8%, all arthroplasties which seemed loosened radiologically had also a bad result clinically. No correlation could be shown between the age of the patients and the clinical results as well as between an additional stem revision (15 patients) and the clinical result in the Harris-Hip-Score. All revision operations were done with bone transplantation and demonstrate, that the concept of cementless fixation of acetabular component gives satisfactory results.
大量的髋关节翻修置换手术以及关节置换的非骨水泥固定导致了更多采用骨移植的非骨水泥髋关节翻修手术。这项回顾性研究展示了对34例患者进行临床和影像学随访的结果，这些患者在进行髋关节翻修置换手术时的平均年龄为71岁零4个月。术后3年9个月（1年4个月至6年3个月）的Harris髋关节评分所显示的主观和临床结果表明，67%的患者对翻修置换手术的结果满意。Harris髋关节评分术前平均为41.1分，随访检查时为73.2分。松动率为11.8%，所有在影像学上看似松动的关节置换在临床上结果也不佳。患者年龄与临床结果之间以及额外进行柄部翻修的15例患者与Harris髋关节评分的临床结果之间均未显示出相关性。所有翻修手术均采用了骨移植，这表明髋臼部件非骨水泥固定的理念能产生令人满意的结果。
