지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 98 - 103 (6page)
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초록· 키워드
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Purpose: The purpose of this study is to report the short-term outcomes of revision total hip arthroplasty (THA) using tantalum augments in patients with severe acetabular bone defects.
Materials and Methods: We retrospectively analyzed 15 revision THAs performed in 15 patients using tantalum augments between June 2010 and December 2013. Acetabular bone defects were Paprosky type IIIA in 7 hips, type IIIB in 7, and type IV in 1. The causes of revision surgery were aseptic loosening in 12 hips and deep infection in 3. Revisions were first in 1 hip, second in 3, and third in 11. Six patients were male and 9 female with a mean age of 59 years (range, 48-75 years). Mean follow-up was 29 months (range, 24-48 months).
Results: Mean Harris hip score was improved from 34 points (range, 12-54 points) preoperatively to 84 points (range, 38-90 points) at final follow-up. On the final follow-up radiographs, there were 12 hips (80.0%) with stable fixation of the acetabular cup, 2 (13.3%) with secondary stability after mild acetabular protrusion, and 1 (6.7%) with radiolucency around the acetabular cup without mechanical symptoms. Complications included one patient with acute hematogenous infection managed by surgical debridement and long-term antibiotic therapy. There were no cases with nerve palsy or dislocation during the follow-up period.
Conclusion: The present study showed satisfactory clinical and radiographic outcomes of revision THA using tantalum augments due to severe acetabular bone defects of Paprosky type III or IV at a minimum follow-up of 2 years.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Bozic KJ / 2009 / The epidemiology of revision total hip arthroplasty in the United States / J Bone Joint Surg Am 91:128~133
Paprosky WG / 1994 / Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation / J Arthroplasty 9:33~44
Long WJ / 2015 / Uncemented porous tantalum acetabular components : Early follow-up and failures in 599 revision total hip arthroplasties / Iowa Orthop J 35:108~113
Elganzoury I / 2013 / Early results of trabecular metal augment for acetabular reconstruction in revision hip arthroplasty / Acta Orthop Belg 79:530~535
Gehrke T / 2013 / Acetabular revision in THA using tantalum augments combined with impaction bone grafting / Hip Int 23:359~365
Paprosky WG / 1994 / Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation / J Arthroplasty 9:33~44
Long WJ / 2015 / Uncemented porous tantalum acetabular components : Early follow-up and failures in 599 revision total hip arthroplasties / Iowa Orthop J 35:108~113
Elganzoury I / 2013 / Early results of trabecular metal augment for acetabular reconstruction in revision hip arthroplasty / Acta Orthop Belg 79:530~535
Gehrke T / 2013 / Acetabular revision in THA using tantalum augments combined with impaction bone grafting / Hip Int 23:359~365
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