Treatment of osteoarthrosis secondary to congenital dislocation of the hip. Primary cemented surface replacement compared with conventional total hip replacement.
Treatment of osteoarthrosis secondary to congenital dislocation of the hip. Primary cemented surface replacement compared with conventional total hip replacement.
复制标题
先天性髋关节脱位继发的骨关节病的治疗。
DOI：
10.2106/00004623-199072070-00012
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
S. Nasser
中科院分区：
文献类型：
--
作者：
L. Davlin;H. Amstutz*;S. Tooke;F. Dorey;S. Nasser
自1971~1984年间，为治疗先天性髋关节脱位继发的骨关节病，进行了74例骨水泥传统全髋关节置换术(55例)和37例骨水泥表面置换术(32例)。第一组患者年龄较大，有较严重的不典型增生。在所有患者中，我们尝试将髋臼假体放置在真正的髋臼水平。两组手术均在短期内缓解了疼痛，改善了髋关节功能。表面置换组术后早期并发症较少且不严重，但长期失败率(翻修或切除)明显较高。生存分析表明，在年轻患者中，两种类型的手术都没有产生持久的结果；所有的翻修手术都发生在60岁以下的患者身上。然而，在进行了传统全髋关节置换术的老年患者中，无论发育不良的程度如何，其存活率都很高。
Seventy-four cemented conventional total hip arthroplasties (in fifty-five patients) and thirty-seven cemented surface replacements (in thirty-two patients) were done between 1971 and 1984 for treatment of osteoarthrosis secondary to congenital dislocation of the hip. The patients in the first group were older and had more severe dysplasia. In all patients, we tried to position the acetabular component at the level of the true acetabulum. In both groups, the operation relieved pain and improved the function of the hip in the short term. There were fewer and less severe early postoperative complications in the surface-replacement group, but the rate of long-term failure (revision or resection) was substantially higher. Survivorship analysis demonstrated that neither type of operation yielded durable results in younger patients; all revisions were in patients who were less than sixty years old. However, in older patients who had cemented conventional total hip arthroplasty, survivorship was excellent, regardless of the amount of dysplasia.