Impaction Bone Grafting Combined with Titanium Mesh for Acetabular Bone Defects Reconstruction in Total Hip Arthroplasty Revision: A Retrospective and Mini-Review Study.
Impaction Bone Grafting Combined with Titanium Mesh for Acetabular Bone Defects Reconstruction in Total Hip Arthroplasty Revision: A Retrospective and Mini-Review Study.
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DOI：
10.1111/os.13262
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发表时间：
2022-05
影响因子：
2.1
通讯作者：
Sheng, Pu-yi
中科院分区：
文献类型：
--
作者：
Li, Xiang;Pan, Bai-qi;Wu, Xiao-yu;Fu, Ming;Liao, Wei-ming;Wu, Chu-heng;Sheng, Pu-yi
探讨在全髋关节置换术（THA）翻修术中应用打压植骨（IBG）联合钛合金网重建髋臼骨缺损，并随访临床结局和影像学表现。回顾性分析我院2000年1月至2020年12月收治的IBG联合钛网髋臼骨缺损重建患者的临床及影像学资料。评价了术前和翻修后的Oxford和Harris评分以及翻修后并发症。通过X线片测定髋关节旋转中心（COR）、透明线、植骨融合和髋关节周围骨密度（BMD）。Oxford评分和Harris评分均明显改善（P < 0.05）。最后一次随访检查的X线片显示，髋臼COR、偏心距、倾斜角、垂直值的平均比值和骨密度分析在翻修侧和对侧之间无显著差异（P > 0.05）。随访数据显示补片植入物和移植骨融合恢复。发现IBG联合钛合金补片用于髋臼缺损的翻修THA患者可提供令人满意的结局。然而，仍需要大规模研究来进一步阐明长期结果。我们探讨了在全髋关节翻修术中应用打压植骨（IBG）联合钛网重建髋臼骨缺损的方法，并随访了临床结果和影像学表现。翻修后X线片显示髋臼植入物的水平/垂直值测量值，髋关节中的髋臼偏移。
To investigate the application of impaction bone grafting (IBG) combined with Ti‐alloy mesh for acetabular bone defect reconstruction in total hip arthroplasty (THA) revision and follow up the clinical outcomes and imaging findings. The clinical and imaging data of patients who were admitted to our hospital from January 2000 to December 2020 and underwent acetabular bone defects reconstruction using IBG combined with titanium mesh were retrospectively analyzed. Preoperative and post‐revision Oxford and Harris scores, and post‐revision complications were evaluated. Radiographs were used to determine center of rotation (COR) of the hip joint, transparency line, bone graft fusion, and bone mineral density (BMD) around the hip joint. Significant improvement was observed in both Oxford and Harris scores (P < 0.05). The radiographs taken at the last follow‐up examination showed no significant differences in the acetabulum COR, offsets, inclination angle, mean ratio of vertical value, and BMD analysis between the post‐revision side and contralateral side (P > 0.05). The follow‐up data showed restoration of the mesh implant and graft bone fusion. The application of IBG combined with titanium‐alloy mesh in revision THA patients with acetabular defects was found to provide satisfactory outcomes. However, large‐scale studies are still needed to further elucidate the long‐term outcomes. We investigate the application of impaction bone grafting (IBG) combined with titanium mesh for acetabular bone defects reconstruction in revision total hip arthroplasty (THA), and follow up the clinical outcomes and imaging findings. Post‐revision radiographs show the measurement of horizontal/vertical value of the acetabular implant, acetabulum offsets in a hip.
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影响因子：
4.2
作者：
Buttaro, Martin A.;Comba, Fernando;Piccaluga, Francisco
通讯作者：
Piccaluga, Francisco
DOI：
10.1097/01.blo.0000149822.49890.5e
发表时间：
2004-12-01
影响因子：
4.2
作者：
Gross, AE;Goodman, S
通讯作者：
Goodman, S
影响因子：
4.2
作者：
Garcia-Rey, Eduardo;Madero, Rosario;Garcia-Cimbrelo, Eduardo
通讯作者：
Garcia-Cimbrelo, Eduardo
影响因子：
2.3
作者：
Gruber MS;Jesenko M;Burghuber J;Hochreiter J;Ritschl P;Ortmaier R
通讯作者：
Ortmaier R
影响因子：
2.7
作者：
Amirouche, Farid;Solitro, Giovanni F.;Bobko, Aimee
通讯作者：
Bobko, Aimee