Bettin D, Greitemann B, Polster J, Schulte-Eistrup S
Zentrum für Orthopädie, Klinik und Poliklinik für Allgemeine Orthopädie, Münster.
Z Orthop Ihre Grenzgeb. 1993 Nov-Dec;131(6):496-502. doi: 10.1055/s-2008-1040060.
Control of the long term results of the Judet-TEP.
From 1980-1985 124 Pat. have been operated. The follow up was done in the same collective of 83 patients after 2-6 years and > 6 years.
The intraoperative complications have been fractures of the femur (19.3%) and the trochanter major (3.6%) and luxation (1.9%). In the follow up time the clinical results declined. The patients complained increasing pain in the thigh (26.5%) and the groin (13.2%). Radiological loosening of the acetabulum occurred especially in the medio-caudal area (61.5%) and in the proximal femur (32.5%). Cranial movement of the cup (31.3%) and varus deviation in the femur (40.9%) predominated. 28 prostheses were revised. After 11 years the cumulative success rate was 55.1%.
The long term results are disappointing.
控制Judet-TEP的长期结果。
1980年至1985年期间,对124例患者进行了手术。在同一组83例患者中,术后2至6年以及6年以上进行了随访。
术中并发症包括股骨骨折(19.3%)、大转子骨折(3.6%)和脱位(1.9%)。在随访期间,临床结果有所下降。患者抱怨大腿(26.5%)和腹股沟(13.2%)疼痛加剧。髋臼的放射学松动尤其发生在中尾侧区域(61.5%)和股骨近端(32.5%)。髋臼杯向上移位(31.3%)和股骨内翻畸形(40.9%)较为常见。28个假体进行了翻修。11年后,累积成功率为55.1%。
长期结果令人失望。