Survivorship Between 2 Different Ceramic-on-Ceramic Total Hip Arthroplasty With or Without a Metal-Backed Titanium Sleeve Bearing: A 5- to 14-Year Follow-Up Study.
Survivorship Between 2 Different Ceramic-on-Ceramic Total Hip Arthroplasty With or Without a Metal-Backed Titanium Sleeve Bearing: A 5- to 14-Year Follow-Up Study.
复制标题
两种不同的陶瓷对陶瓷全髋关节置换术（带或不带金属背衬钛套筒轴承）之间的生存率：一项 5 至 14 年的随访研究。
DOI：
10.1016/j.arth.2016.06.014
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Ishiguro N.
中科院分区：
文献类型：
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作者：
Higuchi Y;Hasegawa Y;Komatsu D;Seki T;Ishiguro N.
背景本研究的目的是比较连续陶瓷对陶瓷关节面（有或没有金属背衬钛套筒）在全髋关节置换术患者中的临床和影像学结果。（64名女性和21名男性;平均年龄55.2岁）被纳入无袖A组，（116名女性和31名男性;平均年龄54.2岁）被纳入带袖套的B组。临床和放射学测量随访（范围，5-14年，平均，8.1年）进行了analyzed.ResultsThe平均最新的术后Harris髋关节评分为89.1为两组患者。A组中有1个关节（1.2%）显示陶瓷内衬断裂，而B组中没有发生内衬断裂。在A组的1个关节（1.2%）和B组的1个关节（0.7%）中观察到可听见的吱吱声。A组和B组的平均年内衬磨损率分别为0.0049和0.0046 mm/y。A组中有3个关节（3.5%）由于无菌髋臼杯松动、陶瓷内衬断裂和感染的个别事件而需要全髋关节置换术翻修。B组（0.7%）有1个关节因股骨近端进行性骨质溶解而需要翻修。10年Kaplan-Meier生存率，基于组件松动和轴承失效的终点，为97.6%的A组和99.3%的B group.ConclusionThere没有临床，影像学，或生存率组间差异。
BackgroundThe aim of the study was to compare the clinical and radiographic results of consecutive ceramic-on-ceramic bearings with and without a metal-backed titanium sleeve in patients undergoing total hip arthroplasty.MethodsEighty-five patients (64 women and 21 men; average age 55.2 years) were included in the A group without sleeve while 147 patients (116 women and 31 men; average age 54.2 years) were included in the B group with sleeve. Clinical and radiologic measurements at follow-up (range, 5-14 years; average, 8.1 years) were analyzed.ResultsThe mean latest postoperative Harris Hip Score was 89.1 for patients from both groups. One joint (1.2%) in the A group displayed ceramic liner fracture, while no incidences of liner fracture occurred in the B group. Audible squeaking was observed in 1 joint (1.2%) in the A group and 1 (0.7%) in the B group. The mean annual liner rate of wear was 0.0049 and 0.0046 mm/y for the A group and B group, respectively. Three joints in the A group (3.5%) required revision total hip arthroplasty because of individual episodes of aseptic cup loosening, ceramic liner fracture, and infection. One joint in the B group (0.7%) required revision because of progressive osteolysis of the proximal femur. Ten-year Kaplan–Meier survivorship, based on an end point of component loosening and bearing failure, was 97.6% for the A group and 99.3% for the B group.ConclusionThere were no clinical, radiographic, or survivorship differences between groups.