Belgium experience with metal-on-metal surface arthroplasty
Belgium experience with metal-on-metal surface arthroplasty
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DOI：
10.1016/j.ocl.2005.01.004
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发表时间：
2005-04-01
影响因子：
1.8
通讯作者：
De Smet, KA
中科院分区：
文献类型：
--
作者：
De Smet, KA
最近引入了髋关节的混合金属对金属表面置换术，在包括比利时在内的欧洲国家使用了大量植入物。本文介绍了252例髋关节的结果，平均随访2.8年。使用带最少骨水泥鞘的紧压配合作为股骨固定技术，只有3例失败。主要并发症为股骨头缺血性坏死和股骨颈骨折。在大多数情况下，患者恢复到高功能水平，身体活动没有限制，并且非常满意。未来手术技术和器械的改进将使外科医生更容易获得和重现该手术。
Hybrid metal-on-metal surface arthroplasty of the hip has recently been introduced, with a vast number of implants used in European countries including Belgium. This article presents results in 252 hips with a mean follow-up of 2.8 years. Using a tight press-fit with minimal cement mantle as the technique of femoral fixation, there have been only three failures. The main complications have been avascular necrosis of the femoral head and femoral neck fracture. In most cases, patients returned to a high functional level with no restrictions in their physical activity and were highly satisfied. Future refinements in surgical technique and instruments will make this procedure more accessible and reproducible for the surgeon.