Herzberger M, Hill T, Rossak K
Orthopädische Klinik, St. Vincentiuskrankenhüser Karlsruhe.
Z Orthop Ihre Grenzgeb. 1993 Nov-Dec;131(6):543-6. doi: 10.1055/s-2008-1040068.
To answer the question of the duration of cementless hip-endoprostheses 59 Mecron-Titanium-prosthesis were compared with a contingent of 56 prostheses with a Chromium-Cobalt-Molybdenum-stem. The clinical as well as the radiological results are compared in a 2-5 years follow up. It is shown, that the Titanium stem reaches 93.2% "very good" to "satisfactory" results in the Merl d'Aubigné-Scheme the Chromium-Cobalt-Molybdenum-stem in comparison only in 85.71%. The x-ray pictures show, that the Titanium stems cause less sclerosis of the femur than the Chromium-Cobalt-Molybdenum-stems. The radiologic signs of loosening of both stems nevertheless do not correlate with the subjective and clinical results. It has to be mentioned that it was not possible to carry out a complete following up of all patients on the fact that some did non appear to the follow-up-examination.
为了回答非骨水泥型髋关节假体的使用期限问题,将59个美创钛合金假体与56个钴铬钼合金柄假体进行了比较。在2至5年的随访中对临床和放射学结果进行了比较。结果显示,在Merl d'Aubigné评分系统中,钛合金柄假体达到“非常好”至“满意”结果的比例为93.2%,相比之下,钴铬钼合金柄假体仅为85.71%。X光片显示,钛合金柄假体导致的股骨硬化比钴铬钼合金柄假体少。然而,两种柄假体的松动放射学征象与主观和临床结果并无关联。必须提及的是,由于一些患者未参加随访检查,因此无法对所有患者进行完整的随访。