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带圆柱形内衬的金属背衬髋臼部件中的聚乙烯磨损和假体周围骨溶解

Polyethylene wear and periprosthetic osteolysis in metal-backed acetabular components with cylindrical liners.

作者信息

Perez R E, Rodriguez J A, Deshmukh R G, Ranawat C S

机构信息

Center for Total Joint Replacement, Lenox Hill Hospital, New York, New York 10021, USA.

出版信息

J Arthroplasty. 1998 Jan;13(1):1-7. doi: 10.1016/s0883-5403(98)90068-7.

DOI:10.1016/s0883-5403(98)90068-7
PMID:9493531
Abstract

A retrospective clinical and radiographic analysis was performed in 27 hips (23 patients), in which a threaded, porous-coated acetabular component with cylindrical liner was implanted (Sintered T-Tab-ST cup, Biomet, Warsaw, IN). Sixteen hips had cemented stems; 11 had cementless, circumferentially porous-coated stems. The mean clinical and radiographic follow-up period was 68 months. The mean patient age was 49 years; the mean patient weight was 68 kg. The mean rates of linear and volumetric wear were 0.25 mm/y and 149 mm3/y, respectively. Osteolysis occurred in 51.8% (14 hips). Wear rate and young age correlated with osteolysis (P = .0002 and P = .01, respectively). There were no cases of distal femoral osteolysis.

摘要

对27例髋关节(23例患者)进行了回顾性临床和影像学分析,这些患者均植入了带圆柱形衬垫的带螺纹、多孔涂层髋臼组件(烧结T型片 - ST杯,Biomet公司,印第安纳州华沙)。16例髋关节采用骨水泥固定柄;11例采用非骨水泥、周向多孔涂层柄。临床和影像学平均随访期为68个月。患者平均年龄为49岁;平均体重为68千克。线性磨损率和体积磨损率分别为每年0.25毫米和每年149立方毫米。骨溶解发生在51.8%(14例髋关节)。磨损率和年轻与骨溶解相关(P分别为0.0002和0.01)。未发生股骨远端骨溶解病例。

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The Usefulness of Three-dimensional Computed Tomography as an Assessment of Periacetabular Osteolysis in Revision Total Hip Arthroplasty.三维计算机断层扫描在翻修全髋关节置换术中评估髋臼周围骨溶解的应用价值
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