Bläsius K, Cotta H, Schneider U, Thomsen M
Abt. Orthopädie des Bethlehem-Krankenhauses, Stolberg.
Z Orthop Ihre Grenzgeb. 1993 Nov-Dec;131(6):547-52. doi: 10.1055/s-2008-1040069.
The principles of proximal fixation of cementless endoprostheses is established already. This theory was the subject of the present multi-center study of 22 clinics. Between 1984 and 1992 all 1830 patients with an uncemented CLS press-fit stem had a clinical and radiological follow-up examination and computer documentation. The evaluation of the clinical results are based on the Merle d'Aubigné score. In 91% we found a good or excellent result. For the remainder of patients (9%) with a score less than 14 each case has been especially analysed. The incidence of femor component loosening was less than 1% within the average follow-up time of 2.5 years. The medium-term results with the uncemented CLS press-fit stem confirmed the idea of proximal load induction on the femur.
非骨水泥型假体近端固定的原则已经确立。该理论是本次由22家诊所参与的多中心研究的主题。在1984年至1992年期间,对所有1830例使用非骨水泥型CLS压配型股骨柄的患者进行了临床和放射学随访检查及计算机记录。临床结果的评估基于Merle d'Aubigné评分。我们发现91%的患者结果为良好或优秀。对于其余评分低于14分的患者(9%),对每个病例都进行了特别分析。在平均2.5年的随访时间内,股骨部件松动的发生率低于1%。非骨水泥型CLS压配型股骨柄的中期结果证实了股骨近端负荷诱导的观点。