Olivier L C, Neudeck F, Hippel C, Kaiser S, Schmit-Neuerburg K P
Abteilung für Unfallchirurgie des Universitätsklinikums, Gesamthochschule Essen.
Unfallchirurgie. 1998 Apr;24(2):49-54. doi: 10.1007/BF02044353.
In 163 patients--125 (76.7%) female, 38 (23.3%) male--172 cementfree isoelastic acetabular cups were implanted. The average patient age was 72.6 years (range: 16 to 96 years). Sixty-seven (41.1%) patients with 72 (41.9%) cups could be followed-up for an average of 6.0 years (range: 2.0 to 12.2 years) after the procedure. Using the Harris-hip-score we found 49 (68.1%) "very good" to "fair" results. In 23 (31.9%) hips scoring had to be classified as "bad". The rate of cup-loosenings in the collective was low at 3.5% (6/172), probably due to the reduced physical activity of our comparatively older patients. Because after the 8th year symptomatic loosening must be routinely expected, the procedure is not indicated for younger patients. In older patients with femoral neck fractures the cementfree isoelastic acetabular cup has proven itself effective in our experience.
在163例患者中（125例女性，占76.7%；38例男性，占23.3%），植入了172个非骨水泥型等弹性髋臼杯。患者的平均年龄为72.6岁（范围：16至96岁）。67例（41.1%）患者植入了72个（41.9%）髋臼杯，术后平均随访6.0年（范围：2.0至12.2年）。采用Harris髋关节评分，我们发现49例（68.1%）的结果为“非常好”至“尚可”。23例（31.9%）髋关节的评分被归类为“差”。总体髋臼杯松动率较低，为3.5%（6/172），这可能是由于我们的患者年龄相对较大，身体活动较少。由于在第8年后通常会出现症状性松动，因此该手术不适用于年轻患者。根据我们的经验，在老年股骨颈骨折患者中，非骨水泥型等弹性髋臼杯已证明其有效性。
