{"title":"一项前瞻性队列研究：采用ct扫描数据库设计解剖无骨水泥椎体（SPS Evolution），并插入3D ct扫描术前计划，获得良好的长期疗效。","authors":"Elhadi Sariali, Sena Boukhelifa","doi":"10.1016/j.otsr.2025.104245","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Recently, improved hip reconstruction accuracy after total hip arthroplasty (THA) was reported with a specific anatomic stem featuring helicoidal torsion and a double sagittal curvature (SPS Evolution™), compared to the standard double-tapered straight stem, which remains the most widely used design globally. However, no studies have analyzed the ten-year outcomes of THA using this stem. The objective of this study was to assess the survivorship of SPS Evolution™ at ten-year follow-up.</p><p><strong>Hypothesis: </strong>The use of the modified SPS Evolution™ design provides excellent long-term fixation, a low risk of stress shielding and thigh pain, and a reduced dislocation rate.</p><p><strong>Material and methods: </strong>A prospective cohort study included 134 consecutive patients who underwent surgery between December 2011 and December 2013. An anatomic stem (SPS Evolution™) with exclusive proximal surface treatment, a cementless acetabular component, and a Delta ceramic-ceramic bearing couple were used in all patients. In total, 102 patients (118 hips), with a mean age of 60 ± 11 years (range, 32-83 years), were evaluated after an average follow-up of 10.6 ± 0.6 years (range, 10-12 years), using the Harris Hip Score (HHS) and the Oxford Hip Score (OHS) self-assessment questionnaires. The fixation and stability of the femoral stem were assessed using the Engh and ARA scores.</p><p><strong>Results: </strong>An early femoral revision was performed on a 69-year-old woman following a post-traumatic femoral fracture. With aseptic loosening as the endpoint, the survival rate was 100% in 118 hips (95% CI, 96.7-100%) at 10 years. Excellent clinical outcomes were observed, with a mean HHS score of 97.6 ± 6.2 (range, 69-100) and an OHS score of 44.9 ± 5.2 (range, 23-48). All stems were found to be stable and well-osseointegrated.</p><p><strong>Discussion: </strong>The SPS Evolution™ stem demonstrated an excellent ten-year survival rate. In addition to precise hip reconstruction, it provided excellent clinical and radiological outcomes, indicating that the SPS Evolution™ is a reliable and \"conservative\" implant.</p><p><strong>Level of evidence: </strong>IV, prospective cohort study without control group.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104245"},"PeriodicalIF":2.3000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Excellent long-term outcomes with an anatomic cementless stem (SPS Evolution) designed using a CT-scan database and inserted with 3D CT-scan preoperative planning: A prospective cohort study.\",\"authors\":\"Elhadi Sariali, Sena Boukhelifa\",\"doi\":\"10.1016/j.otsr.2025.104245\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Recently, improved hip reconstruction accuracy after total hip arthroplasty (THA) was reported with a specific anatomic stem featuring helicoidal torsion and a double sagittal curvature (SPS Evolution™), compared to the standard double-tapered straight stem, which remains the most widely used design globally. However, no studies have analyzed the ten-year outcomes of THA using this stem. The objective of this study was to assess the survivorship of SPS Evolution™ at ten-year follow-up.</p><p><strong>Hypothesis: </strong>The use of the modified SPS Evolution™ design provides excellent long-term fixation, a low risk of stress shielding and thigh pain, and a reduced dislocation rate.</p><p><strong>Material and methods: </strong>A prospective cohort study included 134 consecutive patients who underwent surgery between December 2011 and December 2013. An anatomic stem (SPS Evolution™) with exclusive proximal surface treatment, a cementless acetabular component, and a Delta ceramic-ceramic bearing couple were used in all patients. In total, 102 patients (118 hips), with a mean age of 60 ± 11 years (range, 32-83 years), were evaluated after an average follow-up of 10.6 ± 0.6 years (range, 10-12 years), using the Harris Hip Score (HHS) and the Oxford Hip Score (OHS) self-assessment questionnaires. The fixation and stability of the femoral stem were assessed using the Engh and ARA scores.</p><p><strong>Results: </strong>An early femoral revision was performed on a 69-year-old woman following a post-traumatic femoral fracture. With aseptic loosening as the endpoint, the survival rate was 100% in 118 hips (95% CI, 96.7-100%) at 10 years. Excellent clinical outcomes were observed, with a mean HHS score of 97.6 ± 6.2 (range, 69-100) and an OHS score of 44.9 ± 5.2 (range, 23-48). All stems were found to be stable and well-osseointegrated.</p><p><strong>Discussion: </strong>The SPS Evolution™ stem demonstrated an excellent ten-year survival rate. In addition to precise hip reconstruction, it provided excellent clinical and radiological outcomes, indicating that the SPS Evolution™ is a reliable and \\\"conservative\\\" implant.</p><p><strong>Level of evidence: </strong>IV, prospective cohort study without control group.</p>\",\"PeriodicalId\":54664,\"journal\":{\"name\":\"Orthopaedics & Traumatology-Surgery & Research\",\"volume\":\" \",\"pages\":\"104245\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-04-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopaedics & Traumatology-Surgery & Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.otsr.2025.104245\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedics & Traumatology-Surgery & Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.otsr.2025.104245","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Excellent long-term outcomes with an anatomic cementless stem (SPS Evolution) designed using a CT-scan database and inserted with 3D CT-scan preoperative planning: A prospective cohort study.
Background: Recently, improved hip reconstruction accuracy after total hip arthroplasty (THA) was reported with a specific anatomic stem featuring helicoidal torsion and a double sagittal curvature (SPS Evolution™), compared to the standard double-tapered straight stem, which remains the most widely used design globally. However, no studies have analyzed the ten-year outcomes of THA using this stem. The objective of this study was to assess the survivorship of SPS Evolution™ at ten-year follow-up.
Hypothesis: The use of the modified SPS Evolution™ design provides excellent long-term fixation, a low risk of stress shielding and thigh pain, and a reduced dislocation rate.
Material and methods: A prospective cohort study included 134 consecutive patients who underwent surgery between December 2011 and December 2013. An anatomic stem (SPS Evolution™) with exclusive proximal surface treatment, a cementless acetabular component, and a Delta ceramic-ceramic bearing couple were used in all patients. In total, 102 patients (118 hips), with a mean age of 60 ± 11 years (range, 32-83 years), were evaluated after an average follow-up of 10.6 ± 0.6 years (range, 10-12 years), using the Harris Hip Score (HHS) and the Oxford Hip Score (OHS) self-assessment questionnaires. The fixation and stability of the femoral stem were assessed using the Engh and ARA scores.
Results: An early femoral revision was performed on a 69-year-old woman following a post-traumatic femoral fracture. With aseptic loosening as the endpoint, the survival rate was 100% in 118 hips (95% CI, 96.7-100%) at 10 years. Excellent clinical outcomes were observed, with a mean HHS score of 97.6 ± 6.2 (range, 69-100) and an OHS score of 44.9 ± 5.2 (range, 23-48). All stems were found to be stable and well-osseointegrated.
Discussion: The SPS Evolution™ stem demonstrated an excellent ten-year survival rate. In addition to precise hip reconstruction, it provided excellent clinical and radiological outcomes, indicating that the SPS Evolution™ is a reliable and "conservative" implant.
Level of evidence: IV, prospective cohort study without control group.
期刊介绍：
Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
