髋关节置换术至少 2 年随访的临床和放射学结果,以及导航与非导航的子分析。

IF 1.1 4区 医学 Q3 ORTHOPEDICS
Roger Quesada-Jimenez, Ady H Kahana-Rojkind, Elizabeth G Walsh, Tyler R McCarroll, Mark F Schinsky, Benjamin G Domb
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引用次数: 0

摘要

背景:本研究的目的是报告导航髋关节置换术的短期临床结果,以及对正面和矢状面上髋臼植入物放置准确性的影响:对2010年至2021年间接受髋关节置换术的患者数据进行回顾性分析。符合条件的患者均有术后X光片,并完成了至少2年的随访问卷,患者报告的结果包括:改良哈里斯髋关节评分(mHHS)、哈里斯髋关节评分(HHS)、遗忘关节评分(FJS)、视觉模拟量表(VAS)评分、满意度以及髋关节置换术后髋关节残疾和骨关节炎结果评分(HOOS-JR)。根据导航的使用、年龄和体重指数,按 1:1 的比例对髋关节进行倾向匹配。同时还记录了符合 mHHS 和 VAS 评分最小临床意义差异 (MCID) 的髋关节百分比。根据Lewinnek和Callanan定义的安全区以及相对髋臼倾角极限进行了组件置放分析:76个髋关节进行了匹配,每组38个。在患者报告的结果或达到 MCID 的髋关节百分比方面,两组之间未发现差异。导航组进入 Callanan 和 Lewinnek 安全区的可能性分别是对照组的 28.8 倍和 6.8 倍。根据相对髋臼倾角限值,导航组进入95%和99% CI安全区的几率分别是导航组的3.1倍和6.4倍:结论:在至少2年的随访中,两组患者报告的疗效改善情况相当。导航辅助手术提高了髋臼组件定位的准确性,更有可能将髋臼杯置于安全区内。[骨科。202x;4x(x):xx-xx]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and Radiographic Outcomes With Minimum 2-Year Follow-up and Sub-Analysis of Navigation vs Non-Navigation for Hip Resurfacing.

Background: The purpose of this study was to report the short-term clinical outcomes of hip resurfacing with navigation and the impact on accuracy of acetabular implant placement in both the frontal and sagittal planes.

Materials and methods: Data were retrospectively analyzed for patients who received hip resurfacing between 2010 and 2021. Eligible patients had postoperative radiographs and completed a minimum 2-year follow-up questionnaire for the following patient-reported outcomes: modified Harris Hip Score (mHHS), Harris Hip Score (HHS), Forgotten Joint Score (FJS), visual analog scale (VAS) score, satisfaction, and Hip Disability and Osteoarthritis Outcome Score, Joint Replacement (HOOS-JR). Hips were propensity matched in a 1:1 ratio based on the use of navigation, age, and body mass index. The percentage of hips that met the minimal clinically important difference (MCID) for mHHS and VAS score was noted. Component placement analysis was conducted based on the safe zones defined by Lewinnek and Callanan and the Relative Acetabular Inclination Limit.

Results: Seventy-six hips were matched, 38 per group. No differences were observed in patient-reported outcomes or the percentage of hips reaching MCID between the groups. The navigation group was 28.8 and 6.8 times more likely to be within the Callanan and Lewinnek safe zones, respectively. Based on the Relative Acetabular Inclination Limit, the navigation group was 3.1 and 6.4 times more likely to be within the 95% and 99% CI safe zones, respectively.

Conclusion: Comparable improvements in patient-reported outcomes were observed in the two groups during a minimum 2-year follow-up. Navigation-assisted surgery enhances the accuracy of acetabular component positioning, with a higher likelihood of cup placement within the safe zones. [Orthopedics. 202x;4x(x):xx-xx.].

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来源期刊
Orthopedics
Orthopedics 医学-整形外科
CiteScore
2.20
自引率
0.00%
发文量
160
审稿时长
3 months
期刊介绍: For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.
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