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題 名 | Cementless Ceramic Total Hip Arthroplasty: A 5 to 16 Year Follow-Up=無骨水泥固定之陶瓷型全人工髖關節:5至16年的複查探討 |
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作 者 | 吳基銓; 施俊雄; | 書刊名 | 長庚醫學 |
卷 期 | 21:3 1998.09[民87.09] |
頁 次 | 頁300-305 |
分類號 | 416.61 |
關鍵詞 | 無骨水泥固定; 陶瓷型; 全人工髖關節; Cementless; Ceramic; Total hip arthroplasty; |
語 文 | 英文(English) |
中文摘要 | 背景:無骨水泥固定之全人工髖關節被發明來取代用骨水泥固定之人工全髖關節 以避免骨水泥病-此病會減低內植物的壽命。陶瓷型全人工髖關節是一種早期型的無骨水泥 人工全髖關節,它曾被本院使用過好幾年。文獻上報導陶瓷型全人工髖關節的很少,甚至結 果也大不相同,本回顧性的研究是報導本院的經驗。 方法:72位無骨水泥固定之陶瓷型全人工髖關節在本院手術及複查至少 5年以上(範圍 5至 16年,平均9.8年),病患從23至68歲(平均45歲),而男與女為 3比 1。我們以修改後的 d'Aubigne和Postel標準去評估功能與X光上之結果。 結果:只有51.4%病例得到滿意的結果。甚至陶瓷型有很高的併發症,特別是非感染性鬆動 (34.7%)。在僵直性脊椎炎病例中,只有30%的滿意率而不滿意者鬆動率達80%。 結論:與其他型無骨水泥固定之全人工髖關節比較,陶瓷型有很大差距的不滿意結果,而併 發症也較高,因此我們的結論為:陶瓷型全人工髖關節不是理想的內植物,它的使用應該給 予嚴厲限制。 |
英文摘要 | Background: Cementless total hip arthroplasty (THA) was invented to replace cemented THA and thus avoided cement disease, which shortened the longevity of implants. Ceramic THA was an early type of cementless THA which was used at our institution for severay years. In the literature, reports about ceramic THA are very rare, moreover, the results of THA are controversial. This retrospective study was to report our experience. Materials and Methods: Seventy-two cementless ceramic THAs were performed and followed for at least 5 years (range, 5 to 16 years; average, 9.8 years) at our institution. Patients ranged in age from 23 to 68 years (average, 45 years) with a male to female ratio of 3 to 1. A modified d'Aubigne and Postels' method was used to evaluate the functional and radiographic outcomes. Results: Only 51.4% of the cases achieved a satisfactory result. Furthermore, the complication rate was very high, especiallyu for aseptic loosening (34.7%). For ankylosing spondylitis cases, the satisfactory result rate was Only 30% (2/7) and the unsatisfactory cases even had a loosening rate of 80% (4/5). Conclusion: Compared to other types of cementless THA, the satisfactory result rate with ceramic THA was markedly lower and the complication rate was relatively higher. Therefore, we conclude that cementless ceramic THA is not an ideal implant and its usage should be strictly restricted. |
本系統中英文摘要資訊取自各篇刊載內容。