CAJ | 학술논문

目的比较陶瓷对陶瓷( ceramic-on-ceramic, COC)与金属对聚乙烯( metal-on-polyethy-lene, MOP)全髋关节置换的10年随访结果. 方法对2000年1月至2004年12月在我院接受初次全髋关节置换术(total hip arthroplasty, THA)的100例(105髋)患者进行回顾性研究,其中采用COC的43例(48髋)纳入COC组,采用MOP 的57 例(57 髋)纳入 MOP 组,比较两组患者术后 Harris评分(hip Harris score, HHS)、翻修率以及不良事件发生率. 结果末次随访时,COC组与MOP组的术后HHS分别为(89. 9±7. 5) 分、(92. 3±8. 2) 分,差异无统计学意义(P>0. 05). 两组在翻修、脱位、假体破碎、关节异响、无菌性松动、假体周围骨溶解、深部感染、异化骨化发生率等方面比较,差异均无统计学意义(均P>0. 05). 结论 COC与MOP假体均能获得较好的临床疗效,两者在术后髋关节功能及并发症方面疗效相当.
목적 비교도자대도자( ceramic-on-ceramic, COC)여금속대취을희( metal-on-polyethy-lene, MOP)전관관절치환적10년수방결과. 방법 대2000년1월지2004년12월재아원접수초차전관관절치환술(total hip arthroplasty, THA)적100례(105관)환자진행회고성연구,기중채용COC적43례(48관)납입COC조,채용MOP 적57 례(57 관)납입 MOP 조,비교량조환자술후 Harris평분(hip Harris score, HHS)、번수솔이급불량사건발생솔. 결과 말차수방시,COC조여MOP조적술후HHS분별위(89. 9±7. 5) 분、(92. 3±8. 2) 분,차이무통계학의의(P>0. 05). 량조재번수、탈위、가체파쇄、관절이향、무균성송동、가체주위골용해、심부감염、이화골화발생솔등방면비교,차이균무통계학의의(균P>0. 05). 결론 COC여MOP가체균능획득교호적림상료효,량자재술후관관절공능급병발증방면료효상당.
Objective To compare the results of 10-year follow-up of ceramic-on-ceramic ( COC) and metal-on-polyethylene (MOP) total hip arthroplasty (THA). Methods The clinical data of 100 patients with first-time THA were analyzed retrospectively. There were 43 COC cases (48 hips), and 57 MOP cases (57 hips) . Postoperative hip function, revision rate, and incidence of adverse events were compared between the two groups. Results The final follow-up revealed that the postoperative Harris Hip Scores ( HHS) of the COC and MOP groups were 89. 9±7. 5 and 92. 3±8. 2 points, respectively, and the difference was not statistically significant (P>0. 05). The differences in revision, dislocation, prosthesis breakage, abnormal joint noise, a-septic loosening, periprosthetic osteolysis, deep infection, and catabolic ossification rate between the two groups were not statistically significant (all P>0. 05). Conclusion COC and MOP prostheses both achieve good clin-ical efficacy, and exhibit essentially the same results for postoperative hip function and complications.