Cementless Modular Total Hip Arthroplasty in Patients Younger than Fifty with Femoral Head Osteonecrosis: Minimum Fifteen-Year Follow-Up

被引：38

作者：

Kim, Sang-Min ^{[2
]}

Lim, Seung-Jae ^{[1
]}

Moon, Young-Wan ^{[1
]}

Kim, Yang-Tae ^{[1
]}

Ko, Kyung-Rae ^{[1
]}

Park, Youn-Soo ^{[1
]}

机构：

[1] Sungkyunkwan Univ, Dept Orthopaed Surg, Samsung Med Ctr, Sch Med, Seoul 135710, South Korea

[2] Pusan Natl Univ, Sch Med, Dept Orthopaed Surg, Yangsan, South Korea

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 03期

关键词：

survivorship; modular stem; osteonecrosis; younger patients; total hip arthroplasty; AVASCULAR NECROSIS; OSTEO-ARTHRITIS; REPLACEMENT; STEM; COMPONENT; CLASSIFICATION; DISLOCATION; OUTCOMES; SLEEVE;

D O I：

10.1016/j.arth.2012.08.005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study aimed to report the outcome of total hip arthroplasty (THA) with a modular femoral component in patients younger than fifty years with osteonecrosis of femoral head. Sixty-four osteonecrotic hips in fifty-five patients were available for clinical and radiographic analyses at minimum follow-up of fifteen-years. The mean Harris hip score improved from 36 points preoperatively to 92.7 points at final follow-up. Sixty-two (95.3%) hips demonstrated stable bone ingrowth. No hips showed loosening or required revision for aseptic loosening. Survivorship with an end point of stem revision for any reason was 93.8% and for aseptic loosening was 100% at 16.8 years. We believe that cementless THA with a modular stem is a promising procedure for young and active patients with osteonecrosis of the femoral head. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：504 / 509

页数：6

共 47 条

[1] HIP-ARTHROPLASTY IN PATIENTS WITH SICKLE-CELL HEMOGLOBINOPATHY [J].

ACURIO, MT ;

FRIEDMAN, RJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (03) :367-371

[2]

Adamany Damon C, 2008, Orthopedics, V31, P220, DOI 10.3928/01477447-20080301-01

[3] Effectiveness of total hip arthroplasty in the management of hip osteonecrosis [J].

Babis, GC ;

Soucacos, PN .

ORTHOPEDIC CLINICS OF NORTH AMERICA, 2004, 35 (03) :359-+

[4] Cementless total hip arthroplasty with alumina bearings in patients younger than fifty with femoral head osteonecrosis [J].

Baek, Seung-Hoon ;

Kim, Shin-Yoon .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2008, 90A (06) :1314-1320

[5] Physical activity after total joint replacement: A cross-sectional survey [J].

Bauman, Shannon ;

Williams, Dale ;

Petruccelli, Danielle ;

Elliott, Wade ;

de Beer, Justin .

CLINICAL JOURNAL OF SPORT MEDICINE, 2007, 17 (02) :104-108

[6] The value of patient activity level in the outcome of total hip arthroplasty [J].

Beaule, Paul E. ;

Dorey, Frederic J. ;

Hoke, Ryan ;

LeDuff, Michel ;

Amstutz, Harlan C. .

JOURNAL OF ARTHROPLASTY, 2006, 21 (04) :547-552

[7]

BELLAMY N, 1988, J RHEUMATOL, V15, P1833

[8] The anatomically difficult primary total hip replacement - Medium-to long-term results using a cementless modular stem [J].

Biant, L. C. ;

Bruce, W. J. M. ;

Assini, J. B. ;

Walker, P. M. ;

Walsh, W. R. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (04) :430-435

[9]

Brinker M R, 1994, J Arthroplasty, V9, P457, DOI 10.1016/0883-5403(94)90091-4

[10] ECTOPIC OSSIFICATION FOLLOWING TOTAL HIP-REPLACEMENT - INCIDENCE AND A METHOD OF CLASSIFICATION [J].

BROOKER, AF ;

BOWERMAN, JW ;

ROBINSON, RA ;

RILEY, LH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (08) :1629-1632

← 1 2 3 4 5 →