股骨近端骨折内固定失败后使用双活动度杯进行全髋关节置换术的结果,平均随访 6 年。

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-01-18 DOI:10.1051/sicotj/2023038
Chahine Assi, Joeffroy Otayek, Jad Mansour, Jimmy Daher, Jacques Caton, Camille Samaha, Kaissar Yammine
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引用次数: 0

摘要

简介:股骨近端骨折(PFF)内固定失败后进行全髋关节置换术(THA)的并发症发生率较高。双活动度杯(DMC)可降低高危患者的脱位发生率。只有极少数报告调查了 PFF 内固定失败后使用 DMC 进行 THA 的结果:这是一项回顾性单中心连续研究,31 名患者在 PFF 内固定失败后接受了使用 DMC 的 THA。临床评估基于最后一次随访时的改良哈里斯髋关节评分(mHHS)。并记录了并发症发生率和放射学分析:平均随访时间为(5.96 ± 4.2)年。在最后一次随访中,mHHS 的平均值为 92.9 ± 9.1,71% 的患者认为手术后的髋关节是被遗忘的髋关节。未发现脱位或无菌性松动。一名患者的假体出现了化脓性松动。未发现明显的放射学变化。16个假体柄(51.6%)置于中立位,13个(42%)置于外翻位(2.74 ± 1.72°),2个(6.4%)置于内翻位(6.94 ± 2.02°):本研究强调了在 PFF 内固定失败后使用 DMC 的优势,可减少这类高危人群的脱位和并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes of total hip arthroplasty using dual mobility cups following failed internal fixation of proximal femoral fractures at a mean follow-up of 6 years.

Introduction: Performing total hip arthroplasty (THA) after failed internal fixation of proximal femoral fractures (PFF) is known to be associated with high rates of complications. Dual mobility cups (DMC) are known to lower dislocation events in high-risk patients. Very few reports investigated the outcomes of THA using DMC following failure of internal fixation for PFF.

Methods: This is a retrospective monocentric continuous study of 31 patients who underwent THA with DMC after failed internal fixation of PFF. The clinical assessment was based on the modified Harris hip score (mHHS) at the last follow-up. The complication rates and radiological analyses were recorded.

Results: The mean follow-up period was 5.96 ± 4.2 years. At the last follow-up, the mean mHHS was 92.9 ± 9.1 with 71% of the patients describing their operated hip as a forgotten hip. No dislocation or aseptic loosening events were noted. One patient developed a septic loosening of the implant. No significant radiological changes were recorded. Sixteen stems (51.6%) were placed in a neutral position, 13 (42%) in valgus (2.74 ± 1.72°), and 2 (6.4%) in varus (6.94 ± 2.02°).

Conclusion: This study emphasizes the advantage of using DMC following failed internal fixation of PFF in reducing dislocation and complication events in this high-risk population.

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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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