现代 Zweymüller 整体股骨柄在初次全髋关节置换术中的中期疗效

V. Ciriello, M. Saracco, Enrico Leonardi, L. Piovani, Allison Fetz-Palazola, Chase Mareno, G. Logroscino
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引用次数: 0

摘要

背景:人工髋关节置换术是一种广泛使用的外科手术,效果极佳。基于 Zweymüller 设计的髋关节柄历史悠久,其理念是实现长期稳定性,促进生理负荷转移。本研究旨在评估使用这种髋关节柄治疗的一组患者的疗效、存活率和并发症发生率。方法:对使用Zweymüller柄进行初次THA的患者进行回顾性分析。男性共植入86个髋关节(43%),女性共植入114个髋关节(57%)。平均随访时间为 5.4 年。对患者病历进行了审查,以了解初次 THA 术后发生的不良事件以及翻修和翻修指征。要求仍植入髋关节柄的患者完成HOOS JR调查。结果:10个髋关节(5.0%)失去了随访机会。最终评估的平均HOOS JR评分为96.3分(范围为60.0-100.0)。研究期间进行了两次翻修手术,分别是由于假体周围Vancouver B2骨折导致的股骨干松动和多次髋关节脱位。研究结论在平均5.4年的随访中,Zweymüller设计的髋关节柄显示出极佳的存活率和良好的临床效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mid-Term Outcomes of a Modern Zweymüller Monolithic Femoral Stem in Primary Total Hip Arthroplasty
Background: Prosthetic hip replacement is a widely practiced surgical procedure with excellent results. Hip stems based on the Zweymüller design have a long history and their philosophy focuses on achieving long-term stability promoting physiological load transfer. The aim of this study is to evaluate outcomes, survivorship, and complication rates in a cohort of patients treated with this stem. Methods: A retrospective review was conducted to identify patients who underwent primary THA with Zweymüller stems. A total of 86 hips (43%) were implanted in men, and 114 hips (57%) in women. The mean follow-up time was 5.4 years. Patient charts were reviewed for adverse events occurring after primary THA as well as for revision and indication for revision. Patients still implanted with the hip stem were asked to complete the HOOS JR survey. Results: Ten hips (5.0%) were lost to follow up. The mean HOOS JR score at final evaluation was 96.3 points (range, 60.0–100.0). Two revisions were performed during the study for femoral stem loosening due to a periprosthetic Vancouver B2 fracture and for multiple hip dislocations. Conclusions: The Zweymüller design hip stem showed excellent survivorship and favorable clinical outcomes at a mean follow-up of 5.4 years.
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