混合制造商组合无骨水泥半球形双活动杯和抛光锥形滑动骨水泥股骨柄：老年患者初次全髋关节置换术的中短期效果

IF 2.1 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2025-06-01 DOI:10.1016/j.artd.2025.101710

Blaise Pellegrini MD, Alexander Antoniadis MD, Diane Wernly MD, Maya Kaegi MD, Julien Wegrzyn PhD

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引用次数: 0

摘要

背景：关于Symbol无骨水泥半球形双活动杯（Dedienne sant）和Exeter V40骨水泥股骨柄（Stryker）在初次全髋关节置换术（THA）患者中的混合制造商组合，目前缺乏结结性文献。本研究旨在评估这种组合的临床和影像学结果，特别关注脱位和假体周围股骨骨折（pff）的发生。方法在2021年至2023年期间，在最近的随访中回顾了连续123例原发性tha。平均手术年龄为75±9岁。记录术后并发症。临床结果用Harris髋关节评分进行评估。在标准x线片上评估髋臼、股骨和全髋偏移。结果平均随访23±7个月，Harris髋关节评分从术前的46分提高到术后的93分(P <；。。)无脱位报告。未观察到温哥华A或B型PFF。观察1例Vancouver C PFF。24个月随访时无修复生存率为98.6%。所有患者髋关节整体偏移均得到恢复，平均增加3±5.8 mm。结论Symbol无骨水泥半球形双活动杯和Exeter骨水泥股骨干混合生产组合在原发性THA患者中获得了良好的中短期预后。在这些有风险的患者中，这种组合有效地预防了不稳定和股骨温哥华B PFF，同时允许全髋偏移复位。

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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Mixed Manufacturer Combination With a Cementless Hemispherical Dual Mobility Cup and Polished Taper-Slip Cemented Femoral Stem: Short- to Medium-Term Results in Primary Total Hip Arthroplasty in Elderly Patients

Background

There is a lack of conclusive literature regarding the mixed-manufacturer combination of the Symbol cementless hemispherical dual mobility cup (Dedienne Santé) and the Exeter V40 cemented femoral stems (Stryker) in patients who underwent primary total hip arthroplasty (THA). This study aimed to evaluate the clinical and radiographic outcomes of this combination, with a particular attention to the occurrence of dislocation and periprosthetic femoral fractures (PFFs).

Methods

Between 2021 and 2023, a consecutive series of 123 primary THAs were reviewed at the latest follow-up. The mean age at surgery was 75 ± 9 ys. Postoperative complications were recorded. The clinical outcome was assessed with the Harris Hip Score. Acetabular, femoral, and global hip offset were evaluated on standard radiographs.

Results

At a mean follow-up of 23 ± 7 months, the mean preoperative to postoperative Harris Hip Score improved significantly from 46 to 93 (P < .0001.) No dislocation was reported. No Vancouver A or B PFF was observed. One Vancouver C PFF was observed. The revision-free survival rate at 24-month follow-up was 98.6%. The global offset of the hip was restored in all the patients with a mean average increase of 3 ± 5.8 mm.

Conclusions

The mixed-manufacturer combination of the Symbol cementless hemispherical dual mobility cup and the Exeter cemented femoral stem resulted in excellent short- to medium-term outcomes in patients who underwent primary THA. This combination was effective in preventing both instability and femoral Vancouver B PFF in these patients at risk, while allowing global hip offset restoration.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.