| 多孔钽金属Jumbo杯在髋关节翻修术中的应用 |
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投稿时间：2020-10-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 王跃辉 |
WANG Yue-hui |
郑州市骨科医院关节一科, 河南 郑州 450008 |
Department of Joint Surgery, Zhengzhou Orthopaedics Hospital, Zhengzhou 450008, Henan, China |
ghbx9939@163.com |
| 邹士平 |
ZOU Shi-ping |
郑州市骨科医院关节一科, 河南 郑州 450008 |
Department of Joint Surgery, Zhengzhou Orthopaedics Hospital, Zhengzhou 450008, Henan, China |
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| 陈宾 |
CHEN Bin |
郑州市骨科医院关节一科, 河南 郑州 450008 |
Department of Joint Surgery, Zhengzhou Orthopaedics Hospital, Zhengzhou 450008, Henan, China |
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| 陈成亮 |
CHEN Cheng-liang |
郑州市骨科医院关节一科, 河南 郑州 450008 |
Department of Joint Surgery, Zhengzhou Orthopaedics Hospital, Zhengzhou 450008, Henan, China |
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| 陈文忠 |
CHEN Wen-zhong |
郑州市骨科医院关节一科, 河南 郑州 450008 |
Department of Joint Surgery, Zhengzhou Orthopaedics Hospital, Zhengzhou 450008, Henan, China |
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| 期刊信息：《中国骨伤》2022年，第35卷，第1期，第20-25页 |
| DOI：10.12200/j.issn.1003-0034.2022.01.005 |
| 基金项目:河南省医学科技攻关计划联合共建项目（编号：LHGJ20191144） |
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中文摘要:
目的：探讨多孔钽金属Jumbo杯在全髋关节翻修术中对髋臼进行重建的临床疗效。
方法：2014年9月至2017年12月，采用多孔钽金属Jumbo杯技术重建髋臼缺损18例患者（18髋），男6例，女12例；年龄54～76（63.8±15.3）岁；髋臼侧骨缺损Paprosky Ⅱa型6例，Ⅱb型8例，Ⅱc型2例，Ⅲa型2例。术前后进行髋关节Harris评分和视觉模拟评分（visual analogue scale，VAS），影像学检查评价髋关节旋转中心位置及假体位置，判断髋臼有无松动和移位及并发症。
结果：全部病例获得随访，随访时间13～49个月，平均20.6个月。Harris评分由术前的（54.6±4.7）分提高到术后1年的（86.5±3.2）分（P<0.01），VAS评分由术前的（6.8±0.7）分降低到术后1年的（0.8±0.6）分（P<0.01）。髋关节旋转中心横向坐标术前（3.52±0.72） cm，术后（3.47±0.54） cm（P>0.05），旋转中心纵向坐标由术前（3.02±0.84） cm改善为术后的（2.35±0.53） cm（P<0.01）。随访期内Jumbo杯固定良好，未出现松动及移位，髋臼杯均出现不同程度骨长入，均未发现臼杯周围透光线、骨溶解，无感染、神经损伤等并发症发生。
结论：多孔钽金属Jumbo杯重建髋臼骨缺损操作方法简便易行，髋臼早期稳定性好，近期随访效果好。 |
| 【关键词】关节成形术,置换,髋 髋臼 髋假体 |
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| Application of porous tantalum Jumbo cup in revision of hip arthroplasty |
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ABSTRACT
Objective: To investigate the clinical effect of porous tantalum Jumbo cup on acetabular reconstruction in revision of total hip arthroplasty.
Methods: From September 2014 to December 2017,18 patients(18 hips) with acetabular defect were reconstructed by porous tantalum Jumbo cup technology,including 6 males and 12 females;the age ranged from 54 to 76 years old with an average of(63.8±15.3) years. There were 6 cases of paprosky typeⅡA,8 cases of typeⅡB,2 cases of typeⅡC and 2 cases of type Ⅲ a. Harris score and visual analogue scale (VAS) were performed before and after operation. Imaging examination was performed to evaluate the position of hip rotation center and prosthesis,and to judge whether acetabular loosening,displacement and complications existed.
Results: All cases were followed up for 13 to 49 months,with an average of 20.6 months. Harris score increased from 54.6±4.7 to 86.5±3.2 one year after operation(P<0.01),and VAS score decreased from 6.8±0.7 to 0.8±0.6 one year after operation (P<0.01). The transverse coordinate of hip rotation center was (3.52±0.72) cm before operation and (3.47±0.54) cm after operation (P>0.05). The longitudinal coordinate of hip rotation center was improved from (3.02±0.84) cm before operation to (2.35±0.53) cm after operation (P<0.01). During the follow-up period,the Jumbo cup was well fixed without loosening and displacement,the acetabular cup had bone ingrowth in varying degrees,and no light transmission line and osteolysis around the acetabular cup were found. No complications such as infection and nerve injury occurred.
Conclusion: The method of reconstructing acetabular bone defect with porous tantalum Jumbo cup is simple and easy,the early stability of acetabulum is good,and the short-term follow-up effect is good. |
| KEY WORDS Arthroplasty,replacement,hip Acetabulum Hip prosthesis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王跃辉,邹士平,陈宾,陈成亮,陈文忠.多孔钽金属Jumbo杯在髋关节翻修术中的应用[J].中国骨伤,2022,35(1):20~25 |
| 英文格式: | WANG Yue-hui,ZOU Shi-ping,CHEN Bin,CHEN Cheng-liang,CHEN Wen-zhong.Application of porous tantalum Jumbo cup in revision of hip arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(1):20~25 |
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