Cementless Total Hip Arthroplasty in Patients with Osteonecrosis After Kidney Transplantation

被引：19

作者：

Chang, Jae-Suk ^{[1
]}

Han, Duck Jong ^{[2
]}

Park, Su-Kil ^{[3
]}

Sung, Jung-Hwan ^{[1
]}

Ha, Yong-Chan ^{[4
]}

机构：

[1] Asan Med Ctr, Dept Orthopaed Surg, Seoul, South Korea

[2] Asan Med Ctr, Dept Internal Med, Seoul, South Korea

[3] Asan Med Ctr, Dept Gen Surg, Seoul, South Korea

[4] Chung Ang Univ, Coll Med, Dept Orthopaed Surg, Seoul 156755, South Korea

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 05期

关键词：

osteonecrosis; renal transplant; cementless total hip arthroplasty; AVASCULAR NECROSIS; FEMORAL-HEAD; REPLACEMENT; FAILURE; YOUNG;

D O I：

10.1016/j.arth.2013.01.020

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 was to determine the mid- to long-term survivorship of cementless metal-on-metal THA in 52 patients (74 hips) who underwent THA for osteonecrosis of the femoral head with a cementless THA. The mean follow-up was 10.2 years. The mean age at operation was 42.1 years (range, 25-62 years). The survivorship analysis with revision as the end point estimated a 96.6% chance of THA survival during 16.4 years. The average Harris hip score at last follow-up was 89.2 points (range, 74-100). Two patients (two hips) required revision surgery for extensive acetabular osteolysis at 9 years and acetabular liner dissociation at 2 years. The survival rates of cementless THA in these patients are encouraging. However, the possibility of metallic wear related complications are raising concern. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：824 / 827

页数：4

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