Beckenbaugh R D, Tressler H A, Johnson E W
Mayo Clin Proc. 1977 Jun;52(6):349-53.
Hip arthroplasty using the Thompson femoral prosthesis with methyl methacrylate fixation was performed on 109 hips in 106 patients. During an average follow-up period of 36 months, 26 patients died. Fifty-one procedures were performed for fresh fractures of the femoral neck and results were satisfactory in this group provided the patient was minimally active. Results were unsatisfactory in patients who had idiopathic avascular necrosis (18), painful, failed noncemented prostheses (6), and osteoarthritis (3). In these last three groups, one-half required conversion to total hip arthroplasty and an additional one-third had pain. Reoperation was required in 22 cases. Intraoperative death occurred in one elderly patient after insertion of cement. Results suggest that the primary indication for this procedure is in the minimally ambulatory or nonambulatory elderly osteoporotic patient who has a fresh fracture of the femoral neck.
对106例患者的109髋采用带甲基丙烯酸甲酯固定的汤普森股骨假体进行髋关节置换术。在平均36个月的随访期内，26例患者死亡。对51例新鲜股骨颈骨折进行了手术，若患者活动量极小，该组结果令人满意。对于患有特发性缺血性坏死（18例）、疼痛的未骨水泥固定假体失败（6例）和骨关节炎（3例）的患者，结果不满意。在这最后三组中，一半患者需要转换为全髋关节置换术，另外三分之一患者有疼痛。22例患者需要再次手术。1例老年患者在植入骨水泥后术中死亡。结果表明，该手术的主要适应证是活动量极小或不活动的老年骨质疏松患者，且患有新鲜股骨颈骨折。
