Medium to long term follow up of a consecutive series of 604 Exeter Trauma Stem Hemiarthroplasties (ETS) for the treatment of displaced intracapsular femoral neck fractures
Medium to long term follow up of a consecutive series of 604 Exeter Trauma Stem Hemiarthroplasties (ETS) for the treatment of displaced intracapsular femoral neck fractures
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DOI：
10.1016/j.injury.2015.10.077
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发表时间：
2016-03-01
影响因子：
2.5
通讯作者：
Parker, Martyn J.
中科院分区：
文献类型：
--
作者：
Raut, Shruti;Parker, Martyn J.
本研究的目的是评价埃克塞特创伤股骨柄（ETS）治疗移位股骨颈骨折的中长期随访结果。我们回顾性评价了2007年至2012年在我们机构进行的604例连续骨水泥型ETS半关节置换术。随访时间为2-7年，存活患者平均随访4.1年。患者人群的平均年龄为84岁（范围46-106岁），其中81.3%为女性患者。382例（63.2%）患者在随访期内死亡。术后发生浅表软组织感染11例，假体深部感染5例。脱位11例，假体周围骨折7例。11例患者接受Girdlestone切除关节置换术，6例患者接受全髋关节置换术。本文代表了该植入物的最大连续系列，目前随访时间最长。结果证实，该假体对于这些患者是一种极好的植入物，需要翻修手术的风险较低。(C)2015爱思唯尔有限公司版权所有。
The aim of this study was to evaluate the medium to long term follow up results for the Exeter Trauma Stem (ETS) in the treatment of displaced femoral neck fractures. We retrospectively evaluated 604 consecutive cemented ETS hemiarthroplasties performed at our institution between 2007 and 2012. The range of follow up was 2-7 years with a mean follow-up of 4.1 years for the surviving patients. The mean age of the patient population was 84 years (range 46-106) with 81.3% female patients. 382 patients (63.2%) died within the follow up period. Postoperative superficial soft tissue infection occurred in 11 patients and deep prosthetic infection in 5 patients. Dislocation occurred in 11 patients and periprosthetic fracture occurred in 7 patients. 11 patients underwent Girdlestone excision arthroplasty and 6 patients were revised to total hip replacement. This paper represents the largest consecutive series for this implant, with the longest follow up currently available. The results confirm that the prosthesis is an excellent implant for these patients with a low risk of needing revision surgery. (C) 2015 Elsevier Ltd. All rights reserved.