Minimum Ten-Year Results of a Porous Acetabular Component for Crowe I to III Hip Dysplasia Using an Elevated Hip Center

被引：119

作者：

Kaneuji, Ayumi ^{[1
]}

Sugimori, Tanzo ^{[1
]}

Ichiseki, Toru ^{[1
]}

Yamada, Kengo ^{[1
]}

Fukui, Kiyokazu ^{[1
]}

Matsumoto, Tadami ^{[1
]}

机构：

[1] Kanazawa Med Univ, Dept Orthopaed Surg, Kanazawa, Ishikawa, Japan

来源：

JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 02期

关键词：

cementless; acetabular component; hip dysplasia; high hip center; morselized bone graft; CONGENITAL DISLOCATION; HIGH PLACEMENT; ARTHROPLASTY; RECONSTRUCTION; REPLACEMENT; SUPERIOR; FIXATION; CEMENT; WEAR; OLD;

D O I：

10.1016/j.arth.2007.08.004

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：

We conducted a retrospective study of the placement of porous-coated acetabular components using screws at more than 20 mm above the teardrop without structural bone graft for dysplastic hips to determine long-term outcome. Thirty hips (29 patients) were monitored for a mean of 15.2 years (range, 10.4-18.3 years) after Surgery. Compared with 12 contralateral normal hips, the distance of the hip center from the teardrop was significantly high (26.8 +/- 4.8 and 13.4 +/- 2.7 mm P < .001); however, it was not laterally different (31.5 +/- 5.1 and 31.7 +/- 5.0 mm). No acetabular components showed loosening. One metal shelf was revised for wear and osteolysis. Morselized bone grafted in 25 hips was incorporated in all cases. Slight elevation of the hip center without lateralization in cementless cups fixed with screws was well tolerated for dysplastic hips.

引用

页码：187 / 194

页数：8

共 34 条

[1]

BOSSELMANN M, 2007, J ARTHROPLASTY, V22, P314

[2]

ECTOPIC OSSIFICATION FOLLOWING TOTAL HIP-REPLACEMENT - INCIDENCE AND A METHOD OF CLASSIFICATION [J].

BROOKER, AF ;

BOWERMAN, JW ;

ROBINSON, RA ;

RILEY, LH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (08) :1629-1632

[3]

Influence of the Crowe rating on the outcome of total hip arthroplasty in congenital hip dysplasia [J].

Cameron, HU ;

Botsford, DJ ;

Park, YS .

JOURNAL OF ARTHROPLASTY, 1996, 11 (05) :582-587

[4]

Severity of hip dysplasia and loosening of the socket in cemented total hip replacement - A long-term follow-up [J].

Chougle, A ;

Hemmady, MV ;

Hodgkinson, JP .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (01) :16-20

[5]

TOTAL HIP-REPLACEMENT IN CONGENITAL DISLOCATION AND DYSPLASIA OF THE HIP [J].

CROWE, JF ;

MANI, VJ ;

RANAWAT, CS .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1979, 61 (01) :15-23

[6]

Survival and polyethylene wear of porous-coated acetabular components in patients less than fifty years old - Results at nine to fourteen years [J].

Crowther, JD ;

Lachiewicz, PF .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (05) :729-735

[7]

High placement of an acetabular component inserted without cement in a revision total hip arthroplasty - Results after a mean of ten years [J].

Dearborn, JT ;

Harris, WH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1999, 81A (04) :469-480

[8]

DELEE JG, 1976, CLIN ORTHOP RELAT R, P20

[9]

Delp SL, 1996, CLIN ORTHOP RELAT R, P137

[10]

Effect of superior and superolateral relocations of the hip center on hip joint forces - An experimental and analytical analysis [J].

Doehring, TC ;

Rubash, HE ;

Shelley, FJ ;

Schwendeman, LJ ;

Donaldson, TK ;

Navalgund, YA .

JOURNAL OF ARTHROPLASTY, 1996, 11 (06) :693-703

← 1 2 3 4 →