中华骨科杂志
中華骨科雜誌
중화골과잡지
CHINESE JOURNAL OF ORTHOPAEDICS
2009年
10期
901-904
,共4页
蒋毅%周一新%郭盛杰%邵宏翊
蔣毅%週一新%郭盛傑%邵宏翊
장의%주일신%곽성걸%소굉익
关节成形术%置换%髋%髋假体%羟基磷灰石类
關節成形術%置換%髖%髖假體%羥基燐灰石類
관절성형술%치환%관%관가체%간기린회석류
Arthroplasty%replacement%hip%Hip prosthesis%Hydroxyapatites
目的 探讨使用羟基磷灰石喷涂解剖型股骨假体的全髋关节置换术的中期随访结果 .方法 对2001年1月至2003年12月使用羟基磷灰石喷涂解剖型股骨假体的全髋关节置换术患者75例90髋进行中期随访,男49例61髋,女26例29髋;患者年龄42～68岁,平均58.4岁.以Harris评分系统进行临床结果 评估,采用配对t检验分别比较未次随访Harris评分与术前Harris评分、术后早期Harris评分之间的差异;拍摄髋关节正、侧位X线片对影像学结果 进行评估.结果 48例56髋获得随访,男29例35髋,女19例21髋;随访时间5～8年,平均7.2年.随访中无翻修病例.术前Harris评分平均(28.2±6.3)分,术后早期(平均1年)平均(93.2±4.8)分,末次随访平均(91.6±4.5)分,优良率100%.末次随访Harris评分与术前比较差异有统计学意义(P<0.05),与术后早期比较差异无统计学意义(P>0.05).随访期间出现人腿痛3例.X线片显示全部假体均获得稳定的骨长入,出现股骨近端局限性骨溶解2例、假体柄远端骨质硬化3例、假体刷围间断透光线6例,无一例出现假体下沉和假体内外翻.结论 羟基磷灰石喷涂解剖犁股骨假体应用于全髋关节置换术的中期随访结果 满意,假体可以获得稳定的骨长入,但远期疗效有待进一步观察.
目的 探討使用羥基燐灰石噴塗解剖型股骨假體的全髖關節置換術的中期隨訪結果 .方法 對2001年1月至2003年12月使用羥基燐灰石噴塗解剖型股骨假體的全髖關節置換術患者75例90髖進行中期隨訪,男49例61髖,女26例29髖;患者年齡42～68歲,平均58.4歲.以Harris評分繫統進行臨床結果 評估,採用配對t檢驗分彆比較未次隨訪Harris評分與術前Harris評分、術後早期Harris評分之間的差異;拍攝髖關節正、側位X線片對影像學結果 進行評估.結果 48例56髖穫得隨訪,男29例35髖,女19例21髖;隨訪時間5～8年,平均7.2年.隨訪中無翻脩病例.術前Harris評分平均(28.2±6.3)分,術後早期(平均1年)平均(93.2±4.8)分,末次隨訪平均(91.6±4.5)分,優良率100%.末次隨訪Harris評分與術前比較差異有統計學意義(P<0.05),與術後早期比較差異無統計學意義(P>0.05).隨訪期間齣現人腿痛3例.X線片顯示全部假體均穫得穩定的骨長入,齣現股骨近耑跼限性骨溶解2例、假體柄遠耑骨質硬化3例、假體刷圍間斷透光線6例,無一例齣現假體下沉和假體內外翻.結論 羥基燐灰石噴塗解剖犛股骨假體應用于全髖關節置換術的中期隨訪結果 滿意,假體可以穫得穩定的骨長入,但遠期療效有待進一步觀察.
목적 탐토사용간기린회석분도해부형고골가체적전관관절치환술적중기수방결과 .방법 대2001년1월지2003년12월사용간기린회석분도해부형고골가체적전관관절치환술환자75례90관진행중기수방,남49례61관,녀26례29관;환자년령42～68세,평균58.4세.이Harris평분계통진행림상결과 평고,채용배대t검험분별비교미차수방Harris평분여술전Harris평분、술후조기Harris평분지간적차이;박섭관관절정、측위X선편대영상학결과 진행평고.결과 48례56관획득수방,남29례35관,녀19례21관;수방시간5～8년,평균7.2년.수방중무번수병례.술전Harris평분평균(28.2±6.3)분,술후조기(평균1년)평균(93.2±4.8)분,말차수방평균(91.6±4.5)분,우량솔100%.말차수방Harris평분여술전비교차이유통계학의의(P<0.05),여술후조기비교차이무통계학의의(P>0.05).수방기간출현인퇴통3례.X선편현시전부가체균획득은정적골장입,출현고골근단국한성골용해2례、가체병원단골질경화3례、가체쇄위간단투광선6례,무일례출현가체하침화가체내외번.결론 간기린회석분도해부리고골가체응용우전관관절치환술적중기수방결과 만의,가체가이획득은정적골장입,단원기료효유대진일보관찰.
Objective To observe the clinical and radiographic outcomes following the THA using a hydroxyapatite-eoated anatomic stem. Methods From 2001 to 2003, 90 total hip arthroplasty were per-formed in 75 patients using a hydroxyapatite-coated anatomic stem. There are 49 males and 26 females, with the mean age of 58.4 years, range from 42 to 68 years. The mean follow-up period was 7.2 years (5 to 8 years). All patients were evaluated clinically using Harris hip score; preoperative and follow-up radiographs were made. Results Forty-eight patients with 56 hips were involved in this study. There were 29 males and 19 females were included. No patients had underwent revision arthroplasty or aseptic loosening. Accord-ing to the Harris hip score, the average hip score increased from 28.23±6.3 before operation to 93.23±4.8 one year after operation and to 91.6±4.5 at the final review. There was significant difference between the Harris scores at final review and preoperative ones, but no difference one year after operation. All patients had ex-cellent or good results. Three cases were found to be associated with thigh pain. All prostheses were well os-seointegrated. Limited proximal femoral osteolysis occurred in two cases, three cases had radiographic evi-dence of osteosclerosis on the tip of the stem, and six cases were found to represent discontinuous radiolu-cent lines surrounding the stem on the radiographs. No stem subsidence and varus/valgus happened. Con-clusion Hydroxyapatite-coated anatomic stem provided favorable clinical and radiographic results after an intermediate duration of follow-up. The prosthesis had achieved reliable bone ingrowths. The long-term re-sults is needed to be confirmed in future.
