Favorable results of acetabular reconstruction with impacted morsellized bone grafts in patients younger than 50 years - A 10-to 18-year follow-up study of 34 cemented total hip arthroplasties

被引:30
作者
Schreurs, BW [1 ]
van Tienen, TG [1 ]
Buma, P [1 ]
Verdonschot, N [1 ]
Gardeniers, JWM [1 ]
Slooff, TJJH [1 ]
机构
[1] Univ Nijmegen, Med Ctr, Dept Orthopaed, NL-6500 HB Nijmegen, Netherlands
来源
ACTA ORTHOPAEDICA SCANDINAVICA | 2001年 / 72卷 / 02期
关键词
D O I
10.1080/000164701317323354
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
We report a long-term review of 41 acetabular reconstructions using impacted morsellized bone grafts and a cemented total hip arthroplasty (THA) in patients younger than 50 (22-49; average 38) years. Reconstruction was performed in 23 primary THA (19 patients) and 18 revision THA (17 patients), 3 patients were lost to follow-up and 3 (4 hips) died within 10 years of surgery; none had a revision. Thus, 34 hips (30 patients) were reviewed with an average follow-up of 13 (10-18) years, In 2 hips, a revision was performed for aseptic loosening of the acetabular component 7 and 11 years after surgery. One additional cup was revised after 12 years during a femoral stem revision due to wear and matching problems, but was well tired, The survival rate of the acetabular reconstruction technique was 94% (95% CI: 90-98%).
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页码:120 / 126
页数:7
相关论文
共 30 条
[1]  
[Anonymous], CLIN ORTHOP RELAT R, V470, P199, DOI [10.1007/s11999-011-1888-9, DOI 10.1007/S11999-011-1888-9]
[2]   IMPROVED CEMENTING TECHNIQUES AND FEMORAL COMPONENT LOOSENING IN YOUNG-PATIENTS WITH HIP-ARTHROPLASTY - A 12-YEAR RADIOGRAPHIC REVIEW [J].
BARRACK, RL ;
MULROY, RD ;
HARRIS, WH .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (03) :385-389
[3]  
Boeree NR, 1993, CLIN ORTHOP RELAT R, V287, P153
[4]   Impacted graft incorporation after cemented acetabular revision - Histological evaluation in 8 patients [J].
Buma, P ;
Lamerigts, N ;
Schreurs, BW ;
Gardeniers, J ;
Versleyen, D ;
Slooff, TJJH .
ACTA ORTHOPAEDICA SCANDINAVICA, 1996, 67 (06) :536-540
[5]   TOTAL HIP-REPLACEMENT IN PATIENTS YOUNGER THAN 30 YEARS OLD - A 5-YEAR FOLLOW-UP-STUDY [J].
CHANDLER, HP ;
REINECK, FT ;
WIXSON, RL ;
MCCARTHY, JC .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1981, 63 (09) :1426-1434
[6]   Total hip arthroplasty with cement for juvenile rheumatoid arthritis - Results at a minimum of ten years in patients less than thirty years old [J].
Chmell, MJ ;
Scott, RD ;
Thomas, WH ;
Sledge, CB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1997, 79A (01) :44-52
[7]   LONG-TERM (12 TO 18-YEAR) FOLLOW-UP OF CEMENTED TOTAL HIP REPLACEMENTS IN PATIENTS WHO WERE LESS THAN 50 YEARS OLD - A FOLLOW-UP NOTE [J].
COLLIS, DK .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1991, 73A (04) :593-597
[8]  
CONN R A, 1985, Orthopaedic Transactions, V9, P451
[9]   SURVIVORSHIP ANALYSIS OF TOTAL HIP REPLACEMENTS - RESULTS IN A SERIES OF ACTIVE PATIENTS WHO WERE LESS THAN 55 YEARS OLD [J].
CORNELL, CN ;
RANAWAT, CS .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (09) :1430-1434
[10]  
DANTONIO JA, 1989, CLIN ORTHOP RELAT R, V243, P126