Birmingham Hip Arthroplasty Five to Eight Years of Prospective Multicenter Results

Birmingham Hip Arthroplasty Five to Eight Years of Prospective Multicenter Results
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DOI:
10.1016/j.arth.2008.07.016
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发表时间:
2009-10-01
影响因子:
3.5
通讯作者:
Richardson, James B.
Richardson, James B.
中科院分区:
医学2区
文献类型:
--
作者:
Khan, Munir;Kuiper, Jan-Herman;Richardson, James B.

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先驱中心报告了伯明翰表面置换术的优异结果。当在其他中心使用植入物时,先驱外科医生的结果通常不会被复制。因此,我们研究了由非先驱外科医生操作的一组患者的满意度、术后髋关节功能以及伯明翰髋关节表面置换术的存活率。术后第一年 Harris 髋关节评分中位数为 95,该评分持续了 8 年。 8年累积生存率为95.7%。大多数失败都发生在第一年;第一年失败的最常见原因是股骨颈骨折。在先驱外科医生的研究中,这种并发症并不被视为一个重大问题。因此我们得出结论,这种并发症与假体无关,并且可以减少其发生。
Pioneering centers report excellent results of Birmingham resurfacing arthroplasty. Results from pioneering surgeons are not usually reproduced when implants are used at other centers. We therefore Studied patients' satisfaction, postoperative hip function, and survival of Birmingham hip resurfacing in a group, operated by nonpioneering surgeons. The median first year postoperative Harris hip score was 95, and this score was sustained for a period of 8 years. The cumulative survival at 8 years was 95.7%. Most of the failures were in the first year; commonest cause of the first year failures was fracture of femoral neck. This complication is not seen as a substantial problem in the pioneering Surgeons' studies. We therefore conclude that this complication is not related to the prosthesis and that its occurrence can be reduced.