Loosening After Acetabular Revision: Comparison of Trabecular Metal and Reinforcement Rings. A Systematic Review

被引：61

作者：

Beckmann, Nicholas A. ^{[1
]}

Weiss, Stefan ^{[2
]}

Klotz, Matthias C. M. ^{[1
]}

Gondan, Matthias ^{[3
]}

Jaeger, Sebastian ^{[4
]}

Bitsch, Rudi G. ^{[1
]}

机构：

[1] Dept Orthoped Trauma Surg & Spinal Cord Injury, Heidelberg, Germany

[2] ARCUS Clin Pforzheim, Pforzheim, Germany

[3] Heidelberg Univ, Inst Med Biometry & Informat, Heidelberg, Germany

[4] Heidelberg Univ, Dept Orthopaed, Lab Biomech & Implant Res, Heidelberg, Germany

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 01期

关键词：

revision hip arthroplasty; trabecular metal; revision rings; acetabular revision; TOTAL HIP-ARTHROPLASTY; BURCH-SCHNEIDER RING; POROUS TANTALUM; BONE LOSS; ALLOGRAFT RECONSTRUCTION; RADIOLOGICAL EVALUATION; FOLLOW-UP; DEFECTS; MANAGEMENT; COMPONENT;

D O I：

10.1016/j.arth.2013.04.035

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：

100224 [整形外科学];

摘要：

The best method of revision acetabular arthroplasty remains unclear. Consequently, we reviewed the literature on the treatment of revision acetabular arthroplasty using revision rings (1541 cases; mean follow-up (FU) 5.7 years) and Trabecular Metal, or TM, implants (1959 cases; mean FU 3.7 years) to determine if a difference with regard to revision failure could be determined. Failure rates of the respective implants were compared statistically using a logistic regression model with adjustment for discrepancies in FU time. In our study, TM shows statistically significant decreased loosening rates relative to revision rings for all grades including severe acetabular defects and pelvic discontinuity. The severe defects appear to benefit the most from TM. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：229 / 235

页数：7

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