Five- to fifteen-year clinical results and the radiographic evaluation of acetabular changes after bipolar hip arthroplasty for femoral head osteonecrosis

被引:27
作者
Tsumura, H [1 ]
Torisu, T [1 ]
Kaku, N [1 ]
Higashi, T [1 ]
机构
[1] Oita Med Univ, Fac Med, Dept Orthoped Surg, Oita 8795593, Japan
关键词
bipolar hip arthroplasty; femoral head osteonecrosis; radiographic evaluation;
D O I
10.1016/j.arth.2004.11.010
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 have studied 36 hips in 30 patients with osteonecrosis of the femoral head who were treated with bipolar hip arthroptasty. Follow-up period was 5 to 15 (average 7.7) years. Five hips were revised. Hips were divided into 2 groups. Sixteen hips with Ficat stage II or III osteonecrosis were assigned into group I, and 15 hips with Ficat stage IV osteonecrosis were assigned into group II. There was no statistical difference between the clinical results of the 2 groups (P = .74). Radiographically, there was minimal migration in group I. There was a statistical significance in superior migration between subgroups with and without osteolysis in group II (P < .01). We emphasize that bipolar hip arthroplasty is indicated for Ficat stage II or III in osteonecrosis of the femoral head.
引用
收藏
页码:892 / 897
页数:6
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