非骨水泥型全髋关节置换术在髋臼骨折术后继发病变中的研究

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Abstract

Objective To evaluate the clinical results，imaging results and postoperative complications of cementfree prostheses for the treatment of secondary acetabular fractures，and to compare these differences between different coated prostheses.Methods A total of 65 patients who underwent total hip arthroplasty (THA) in the department of Osteonecrosis&Joint Reconstruction Surgery of Honghui hospital from January 2015 to January 2017 due to secondary lesions after acetabular fractures were retrospectively enrolled.39 males and 26 females were included，and the mean age was (46.5±18.6) years.Harris hip score (HHS)，visual analog scale (VAS)，12 item short form health survey(SF-12) and acetabular cup abduction angle were used to evaluate postoperative functional results and prosthesis stability.The intraoperative conditions (operation time，blood loss，blood transfusion rate)，followup outcomes (HHS，VAS，SF-12)，prosthesis survival rate and complications were compared between different coated prostheses.Results 65 patients were followed up (6.2±0.9)years.The results of the 1 year post operation and the last follow-up were significantly improved compared with the pre-operation，and the differences were statistically significant (P＜0.05).There was no significant difference in the abduction angle of acetabular cup at 1 year and last follow-up (P＞0.05).The tantalum coating group had shorter operation time，better HHS and lower revision rate at 1 year follow-up.Three patients underwent revision surgery due to aseptic loosening during follow-up.No complications such as deep vein thrombosis and sciatic nerve injury occurred in all patients.Conclusion In the treatment of postoperative lesions of acetabular fractures，cement-free total hip arthroplasty can achieve satisfactory long-term clinical results.Tantalum metal-coated prostheses have lower revision rates when selecting cement-free prostheses.

Key words： total hip replacement cement-free prosthesis acetabular fracture

Corresponding Authors: Xu Peng

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	Wang Bo
	Xu Ke
	Liu Lin
	Zhang Binfei
	Zhuang Yan
	Hao Yangquan
	Xu Peng

Cite this article:

Wang Bo,Xu Ke,Liu Lin, et al. The Application of Cement Free Total Hip Arthroplasty in the Treatment of Secondary Lesions After Acetabular Fractures[J]. sygkzz, 2022, 28(11): 961-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I11/961

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