Outcomes of total hip arthroplasty in patients with osteonecrosis of the femoral head—a current review

被引:23
作者
Pierce T.P. [1 ]
Elmallah R.K. [1 ]
Jauregui J.J. [1 ]
Verna D.F. [1 ]
Mont M.A. [1 ]
机构
[1] Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, 21215, MD
基金
美国国家卫生研究院;
关键词
Ceramic surfaces; Highly cross-linked polyethylene; Osteonecrosis; Total hip arthroplasty;
D O I
10.1007/s12178-015-9283-x
中图分类号
学科分类号
摘要
The purpose of this review was to analyze (1) patient-reported outcomes and implant survivorship of osteonecrosis (ON) patients following total hip arthroplasty (THA), (2) if prior hip-preserving procedures influence these outcomes, (3) if resurfacing procedures alter outcomes; and (4) how these outcomes may have been impacted by the choice of different bearing surfaces. Today, with implant innovations such as cementless constructs, ceramic bearing surfaces, and highly cross-linked polyethylene, ON patients derive great benefit and have high survivorship following THA. Most studies have shown that previous hip-preserving procedures do not have a deleterious effect on outcomes. Literature on the use of ceramic and highly cross-linked polyethylene bearing surfaces have shown that these implant designs are useful in younger and more active patients. Future research should evaluate the long-term outcomes and survivorship of these new THA constructs. © 2015, Springer Science+Business Media New York.
引用
收藏
页码:246 / 251
页数:5
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