老年患者全髋关节置换术后显著的功能改善和影像学稳定性：一项为期2年的前瞻性研究

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-08-05 DOI:10.1016/j.jor.2025.07.027

Carlo Marega , Domenico De Mauro , Daniele Lamberti , Giuseppe Rovere , Francesco Bosco , Luca Marega

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引用次数: 0

摘要

目的：在一些国家，包括骨杯和骨柄在内的全髋关节置换术并不常见。本研究旨在评估老年人完全骨水泥原发性THA的临床和影像学结果。方法本前瞻性、单中心、纵向队列研究纳入THA患者。临床评估包括Harris髋关节评分（HHS）、定时起跳（TUG）测试和髋关节残疾和骨关节炎结局评分（HOOS）。影像学评价采用正位和侧位x线评估种植体的定位和稳定性。结果40例患者完成2年随访，平均年龄79.0±6.0岁。临床结果显示2年FU有显著改善：平均HHS从术前42±15增加到93±9；TUG由术前24±25 s改善至8±3 s；HOOS由术前35±14分改善至84±17分。2年随访期间无术中并发症或种植体相关不良事件报告。结论：该研究强调了在2年随访中功能结果、患者满意度和良好种植体稳定性的影像学证据的实质性改善。这些发现支持全骨水泥THA作为一种安全有效的老年患者治疗选择。证据水平：

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Significant functional improvements and radiographic stability following fully cemented total hip arthroplasty in elderly patients: A 2-year prospective study

Purpose

Using fully cemented total hip arthroplasty (THA), involving both a cemented cup and stem, remains uncommon in several countries. This study aimed to evaluate the clinical and radiographic outcomes of fully cemented primary THA in an elderly population.

Methods

This prospective, single-center, longitudinal cohort study enrolled patients in THA. Clinical assessments included the Harris Hip Score (HHS), the Timed Up-and-Go (TUG) test, and the Hip Disability and Osteoarthritis Outcome Score (HOOS). Radiographic evaluation was performed using anteroposterior and lateral X-rays to assess implant positioning and stability.

Results

Forty patients completed the 2-year follow-up (FU), with a mean age of 79.0 ± 6.0 years. Clinical outcomes demonstrated significant improvements at 2-year FU: the mean HHS increased from 42 ± 15 preoperatively to 93 ± 9; TUG improved from 24 ± 25 s preoperatively to 8 ± 3 s; and HOOS improved from 35 ± 14 preoperatively to 84 ± 17. No intraoperative complications or implant-related adverse events were reported during the 2-year follow-up.

Conclusion

This study highlights substantial improvements in functional outcomes, patient satisfaction, and radiographic evidence of good implant stability at 2-year follow-up. These findings support fully cemented THA as a safe and effective treatment option for elderly patients.

Level of evidence

IV.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.