The push-through total femoral prosthesis for revision of a total hip or knee replacement with extreme bone loss.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
Sancar Bakircioglu, Abdulkadir M Bulut, Melih Oral, Omur Çağlar, Bulent Atilla, A Mazhar Tokgözoğlu
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引用次数: 0

Abstract

Purpose: The aim of the present study was to assess outcomes of using the push-through total femoral prothesis (PTTF) for revision total hip replacement with extreme bone loss.

Methods: 10 consecutive patients who received PTTF between 2012 and 2018 for revision hip arthroplasty were included in the study. Primary functional outcomes were assessed using Harris Hip Score (HHS), Toronto Extremity Salvage Score (TESS) and Musculoskeletal Tumor Society (MSTS) scores. Range of motion, complications, and ambulatory status were also recorded to assess secondary outcomes.

Results: 2 of 10 patients underwent surgery with PTTF for both knee and hip arthroplasty revision. The mean time between index surgery and PTTF was 15 years (3-32 yrs). Acetabular components were revised in 6 of 10 patients during PTTF application. After a mean follow-up of 5.9 years, hip dislocations occurred in 3 patients. All of the dislocated hips were ones with retained conventional non-constrained acetabular bearings. Patient satisfaction was high (MSTS: 67%, HHS: 61.2%, TESS 64.6%) despite high re-operation rate (40%) and minor postoperative problems.

Conclusions: PTTF should be considered for hip and knee arthroplasty revision procedures in patients with an extreme bone defect. Consistent usage of constrained liners should be considered to avoid hip dislocation, which was our main problem following the procedure.

推入式全股骨假体,用于骨质流失严重的全髋关节或膝关节置换术的翻修。
目的:本研究旨在评估骨质流失严重的翻修全髋关节置换术中使用推入式全股骨假体(PTTF)的疗效。方法:研究纳入了2012年至2018年间接受PTTF进行翻修髋关节置换术的10例连续患者。使用哈里斯髋关节评分(HHS)、多伦多肢体救治评分(TESS)和肌肉骨骼肿瘤协会(MSTS)评分评估主要功能结果。此外,还记录了患者的活动范围、并发症和活动状态,以评估次要结果。结果:10 位患者中有 2 位接受了 PTTF 手术,用于膝关节和髋关节置换术翻修。指数手术与 PTTF 之间的平均间隔时间为 15 年(3-32 年)。在应用 PTTF 期间,10 例患者中有 6 例进行了髋臼组件翻修。平均随访5.9年后,3名患者发生了髋关节脱位。所有脱臼的髋关节都保留了传统的非约束髋臼轴承。尽管再次手术率较高(40%)且术后存在一些小问题,但患者的满意度很高(MSTS:67%;HHS:61.2%;TESS:64.6%):结论:对于骨质极度缺损的患者,在进行髋关节和膝关节翻修手术时应考虑使用 PTTF。结论:对于骨质极度缺损的髋关节和膝关节置换翻修手术患者,应考虑使用 PTTF。应考虑坚持使用约束衬垫,以避免髋关节脱位,这是我们术后的主要问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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