Functional and radiological outcomes after treatment with custom-made acetabular components in patients with Paprosky type 3 acetabular defects: short-term results.
Functional and radiological outcomes after treatment with custom-made acetabular components in patients with Paprosky type 3 acetabular defects: short-term results.
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帕普罗斯基3型髋臼缺陷患者使用定制髋臼假体治疗后的功能和放射学结果：短期结果。
DOI：
10.1186/s12891-020-03851-9
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发表时间：
2020-12-10
影响因子：
2.3
通讯作者：
Ortmaier R
中科院分区：
文献类型：
--
作者：
Gruber MS;Jesenko M;Burghuber J;Hochreiter J;Ritschl P;Ortmaier R
严重的髋臼缺损需要用嵌塞植骨、金属增强杯或杯笼结构进行特殊治疗。即使这些选择通常也不足够，特别是对于具有papprosky 3型缺陷并伴有前后柱缺失的髋关节。本研究探讨了定制髋臼假体（©Materialise NV, Leuven, Belgium）治疗Paprosky 3型缺损的临床和放射学结果。16名患者符合试验条件，其中9人同意纳入试验。他们都完成了一年的随访。Harris髋关节评分和Oxford髋关节评分用于比较术前和术后的功能结果。放射学随访包括植入杯的前倾和倾斜以及双髋偏移量（股骨、内侧、坐骨偏移和旋转中心）。采用IBM SPSS Statistics进行统计学分析。9例患者平均随访时间为12.2个月（范围：10 ~ 18个月）。Oxford髋部评分和Harris髋部评分分别由19.8和50.1提高到29.4和68.8 （p = 0.009和0.01）。并发症3例（33.3%），再次翻修1例（11.1%）。放射学随访显示旋转中心高度和整体偏移高度恢复。股骨偏置有显著性差异。功能和放射学结果是有希望的。然而，长期结果仍有待检验。治疗四级。
Severe acetabular defects require special treatment with either impaction bone grafting, metal augmented cups or cup-cage constructs. Even these options are often not adequate, especially in hips with Paprosky type 3 defects with loss of anterior and posterior columns. This study investigates the clinical and radiological outcomes of custom-made acetabular components (© Materialise NV, Leuven, Belgium) for Paprosky type 3 defects. Sixteen patients were eligible for this trial, nine of whom agreed to be included. All of them completed one year of follow-up. The Harris hip score and the Oxford hip score were used to compare pre- and postoperative functional outcomes. Radiological follow-up comprised anteversion and inclination of the implanted cup and offset measurements in both hips (femoral, medial, ischial offset and center of rotation). Statistical analyses were performed with IBM SPSS Statistics. The mean follow-up time of the nine patients was 12.2 months (range: 10–18). The Oxford hip score and Harris hip score improved from 19.8 and 50.1 to 29.4 and 68.8, respectively (p = 0.009 and 0.01). There were complications in three cases (33.3%), which led to one re-revision (11.1%). Radiologic follow-up showed restoration of the height of the center of rotation and of the global offset. Significant difference was detected in the femoral offset. The functional and radiological outcomes are promising. However, long-term outcomes still need to be examined. Therapeutic Level IV.
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影响因子：
4.2
作者：
Bozic, Kevin J.;Kamath, Atul F.;Berry, Daniel J.
通讯作者：
Berry, Daniel J.
影响因子：
5.3
作者：
Martin, J. Ryan;Barrett, Ian;Berry, Daniel J.
通讯作者：
Berry, Daniel J.
影响因子：
4.2
作者：
Inacio, Maria C. S.;Graves, Stephen E.;Nemes, Szilard
通讯作者：
Nemes, Szilard
DOI：
10.1016/0883-5403(94)90135-x
发表时间：
1994-02-01
期刊：
The Journal of arthroplasty
影响因子：
--
作者：
Paprosky, W G;Perona, P G;Lawrence, J M
通讯作者：
Lawrence, J M
影响因子：
3.5
作者：
Joshi, AB;Lee, J;Christensen, C
通讯作者：
Christensen, C