دورية أكاديمية
أعرض في EDS

High survivorship of cemented sockets with roof graft for severe acetabular dysplasia.

التفاصيل البيبلوغرافية
العنوان: High survivorship of cemented sockets with roof graft for severe acetabular dysplasia.
المؤلفون: Busch VJ; Department of Orthopaedics, Sint Maartenskliniek, Hengstdal 3, 6522 JV Nijmegen, The Netherlands. v.busch@maartenskliniek.nl, Clement ND, Mayer PF, Breusch SJ, Howie CR
المصدر: Clinical orthopaedics and related research [Clin Orthop Relat Res] 2012 Nov; Vol. 470 (11), pp. 3032-40.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 0075674 Publication Model: Print Cited Medium: Internet ISSN: 1528-1132 (Electronic) Linking ISSN: 0009921X NLM ISO Abbreviation: Clin Orthop Relat Res Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : [New York, NY] : Wolters Kluwer
Original Publication: Philadelphia : Lippincott,
مواضيع طبية MeSH: Bone Transplantation*, Acetabulum/*surgery , Arthroplasty, Replacement, Hip/*methods , Hip Dislocation, Congenital/*surgery, Acetabulum/diagnostic imaging ; Adult ; Aged ; Bone Cements ; Female ; Follow-Up Studies ; Hip Prosthesis ; Humans ; Male ; Middle Aged ; Radiography ; Retrospective Studies ; Young Adult
مستخلص: Background: Socket fixation in patients with acetabular dysplasia can be technically demanding but the use of structural grafts can help to reconstruct the original center of hip rotation. Because reported survival rates differ, construct survival seems to depend on the technique of graft preparation and fixation.
Questions/purposes: What is the survivorship of cemented sockets with acetabular roof graft in patients with severe acetabular dysplasia? Do clinical scores equal those of patients without acetabular grafting?
Methods: We retrospectively reviewed 62 patients (74 hips) who had undergone cemented THA with acetabular roof graft. Mean age at surgery was 45 years (range, 19-71 years). Revisions and radiographic failures were determined and clinical scores (Oxford, SF-12) were obtained and matched to a control group. Kaplan-Meier analysis was used to determine survivorship at a minimum followup of 5 years (mean, 10.4 years; range, 5-16 years).
Results: Survivorship for all-cause revision was 98% (95% CI, 92.5%-100.0%) at 10 years followup. Two hips were revised for aseptic acetabular loosening and one hip for polyethylene wear. All grafts incorporated and no additional radiographic loosenings were seen. Patients with grafting had higher Oxford scores compared with the control group but other scores were equal.
Conclusions: In contrast to reported series and the common use of cementless cups in patients with developmental dysplasia of the hip, we found high survivorship of cemented sockets with roof graft in severe acetabular dysplasia at a mean followup of more than 10 years. These patients showed higher Oxford scores than patients in a control group. This technique that restores bone stock is a reasonable solution for often young patients with dysplasia.
Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
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المشرفين على المادة: 0 (Bone Cements)
تواريخ الأحداث: Date Created: 20120412 Date Completed: 20130103 Latest Revision: 20211021
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC3462842
DOI: 10.1007/s11999-012-2346-z
PMID: 22492173
قاعدة البيانات: MEDLINE
الوصف
تدمد:1528-1132
DOI:10.1007/s11999-012-2346-z