Abstract：Objective To discuss the application of non-cement femoral stem prosthesis in total hip revision.Methods A review of 108 patients with revision hip arthroplasties and periprothetic infection using long non-cement femoral stem was made from May 2008 to Aug.2013. The records included intraoperative fractures, osteotomy, distal femural windows and femoral strength line. The hip function was assessed by using Harris score. The preoperative and postoperative hip pain was assessed by using Visual Analog Scale (VAS). The stability of the prosthesis, bone healing and bone ingrowth were determined according to X-ray in postoperative regular follow-up.Results The patients were followed up with a mean period of 6 months to 5 years (mean 33.4 months). Postoperative X-ray evaluation of the prosthesis was in place, bone ingrowth appeared in 3-6 months, bone healing and bone ingrowth was in good condition in six months or more, no signs of periprothetic infection were found, the patients walked well without prosthesis dislocation, fracture and prosthesis loosening. Preoperative Harris score was (48.76±13.17), pain VAS was 4.00(3.00, 6.00). At last time of follow-up, Harris score was (87.11±6.69), VAS score was 0.00(0.00, 1.00), There were significant differences compared with preoperative (all P values＜0.05).Conclusions Long non-cement femoral stem has certain advantages in femoral revision and good effect on patients who have defects in the proximal portion of the femur.
王北岳,刘国印,周利武,计忠伟,郭亭,赵建宁. 非骨水泥假体柄在髋关节股骨侧翻修中的应用[J]. 中华解剖与临床杂志, 2015, 20(3): 236-240.
Wang Beiyue, Liu Guoyin, Zhou Liwu, Ji Zhongwei, Guo Ting, Zhao Jianning. Application of non-cement femoral stem in total hip revision. Chinese Journal of Anatomy and Clinics, 2015, 20(3): 236-240.
Moon KH1, Kang JS, Lee SH, et al. Revision total hip arthroplasty using an extensively porous coated femoral stem[J]. Clin Orthop Surg, 2009, 1(2): 105-109.
te Stroet MA, Gardeniers JW, Verdonschot N, et al. Femoral component revision with use of impaction bone-grafting and a cemented polished stem: a concise follow-up, at fifteen to twenty years, of a previous report[J]. J Bone Joint Surg Am, 2012, 94(23): e1731-1734.
[4]
Francés A, Moro E, Cebrian JL, et al. Reconstruction of bone defects with impacted allograft in femoral stem revision surgery[J]. Int Orthop, 2007, 31(4): 457-464.
[5]
Lieberman JR. Cemented femoral revision: lest we forget[J]. J Arthroplasty, 2005, 20 (4 Suppl 2): 72-74.
[6]
Marya SK, Thukral R. Extensively coated revision stems in proximally deicient femur: early results in 15 patients[J]. Indian J Orthop, 2008, 42(3): 287-293.
[7]
Weiss RJ, Strmwall F, Beckman MO, et al. Distal femoral stem-bone anchorage of a cementless revision total hip arthroplasty: evaluation of 14 patients by CT[J]. Acta Orthop, 2009, 80(3): 298-302.
[8]
Mertl P, Philippot R, Rosset P, et al. Distal locking stem for revision femoral loosening and peri-prosthetic fractures[J]. Int Orthop, 2011, 35(2): 275-282.
[9]
Mertl P, Philippot R, Rosset P, et al. Distal locking stem for revision femoral loosening and peri-prosthetic fractures[J]. Int Orthop, 2011, 35(2): 275-282.
[10]
Weeden SH, Paprosky WG. Minimal 11-year follow-up of extensively porous-coated stems in femoral revisiontotal hip arthroplasty[J]. J Arthroplasty, 2002, 17(4 Suppl 1): 134-137.
[11]
de Jong PT, Haverkamp D, van der Vis HM, et al. Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: a long-term follow-up[J]. J Bone Joint Surg Br , 2006, 88(2): 173-178.
[12]
Zhan C, Kaczmarek R, Loyo-Berrios N, et al. Incidence and short-term outcomes of primary and revision hip replacement in the United States[J]. J Bone Joint Surg Am , 2007, 89(3): 526-533.
Egan KJ, Di Cesare PE. Intraoperative complications of revision hip arthroplasty using a fully porous-coated straight cobalt-chrome femoral stem[J]. J Arthroplasty, 1995, 10 Suppl: S45-51.
[15]
Van-Eynde E, Hendrickx M, Scheerlinck T. Uncemented femoral stem design in fluences the occurrence rate of postoperative fractures after primary hip arthroplasty: a comparison of the Image and Profile stems[J]. Acta Orthop Belg, 2010, 76(2) : 189-198.
[16]
Restrepo C, Mashadi M, Parvizi J, et al. Modular femoral stems for revision total hip arthroplasty[J]. Clin Orthop Relat Res, 2011, 469(2): 476-482.
[17]
Chappell JD, Lachiewicz PF. Lachiewicz PF. Fracture of the femur in revision hip arthroplasty with a fully porous-coated component[J]. J Arthroplasty, 2005, 20(2): 234-238.
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