J. J. Morales De Cano, Ramon Clos Molina, Estela Trias Puertolas
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引用次数: 1
摘要
使用短柄的假体手术已显示出良好的短期效果,其效果可与常规柄的经验相媲美。本研究的目的是调查和描述短茎GTS中期手术患者的特征和临床过程。方法2010年11月至2014年9月,对142例患者进行一期人工髋关节置换手术152例,平均随访95.49个月(75 ~ 120个月)。我们分析了术中和术后并发症,并在随访期间进行了回顾。结果术中并发症1例;股骨跟骨骨折,术中需要螺钉的病例。随访结束时临床评价,根据Merle D 'Aubigne量表,平均值为17.3684 (SD 0,79472),随访结束时放置的GTS茎的生存率为99.3%。结论经过6年多的随访,GTS短柄具有良好的效果,与常规非骨水泥短柄效果相当。短柄髋关节置换术是一种在保护软组织的同时保留骨存量的先进方法
Medium-term outcomes of short stems in total hip arthroplasty
Background Prosthetic surgery has shown good short-term results with the use of short stems, results comparable with the experience of conventional stems. The aim of this study was to investigate and describe the characteristics and clinical course of patients operated on with the short stem GTS in the medium term. Methods Between November 2010 and September 2014, 152 primary hip prostheses were operated on in 142 patients with a mean follow-up of 95.49 months (range 75–120). We analyzed the intraoperative and postoperative complications and the reviews performed during the follow-up. Results One intraoperative complications occurred; case in which a femoral calcar fracture occurred and a screw was required during the operation. The clinical evaluation at the end of the follow-up, according to the Merle D’Aubigne Scale, showed the mean value was 17.3684 (SD 0,79472), with a survival at the end of the follow-up of 99.3% of the placed GTS stems. Conclusions GTS short stems have shown good results after more than 6 years of follow-up, with comparable results to conventional uncemented stems. Short-stem hip arthroplasty is an advanced way to preserve bone stock while protecting soft tissue