| 王钧,潘光辉,伍振威,等.陶瓷对陶瓷与金属对聚乙烯全髋关节置换的10年随访研究.骨科,2015,6(5): 261-264. |
| 陶瓷对陶瓷与金属对聚乙烯全髋关节置换的10年随访研究 |
| Ten-year follow-up of ceramic-on-ceramic and metal-on-polyethylene total hip arthroplasty |
| 投稿时间：2015-05-23 |
| DOI：10.3969/j.issn.1674-8573.2015.05.011 |
| 中文关键词: 关节成形术，置换，髋 髋假体 陶瓷 金属 聚乙烯 |
| 英文关键词: Arthroplasty, replacement, hip Hip prosthesis Ceramic Metal Polyethylene |
| 基金项目:国家自然科学基金青年基金项目（81201820） |
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| 中文摘要: |
| 目的 比较陶瓷对陶瓷（ceramic-on-ceramic, COC）与金属对聚乙烯（metal-on-polyethylene, MOP）全髋关节置换的10年随访结果。方法 对2000年1月至2004年12月在我院接受初次全髋关节置换术（total hip arthroplasty, THA）的100例（105髋）患者进行回顾性研究，其中采用COC的43例（48髋）纳入COC组，采用MOP的57例（57髋）纳入MOP组，比较两组患者术后Harris评分（hip Harris score, HHS）、翻修率以及不良事件发生率。结果 末次随访时，COC组与MOP组的术后HHS分别为(89.9±7.5) 分、(92.3±8.2) 分，差异无统计学意义（P＞0.05）。两组在翻修、脱位、假体破碎、关节异响、无菌性松动、假体周围骨溶解、深部感染、异化骨化发生率等方面比较，差异均无统计学意义（均P＞0.05）。结论 COC与MOP假体均能获得较好的临床疗效，两者在术后髋关节功能及并发症方面疗效相当。 |
| 英文摘要: |
| Objective To compare the results of 10-year follow-up of ceramic-on-ceramic (COC) and metal-on-polyethylene (MOP) total hip arthroplasty (THA). Methods The clinical data of 100 patients with first-time THA were analyzed retrospectively. There were 43 COC cases (48 hips), and 57 MOP cases (57 hips). Postoperative hip function, revision rate, and incidence of adverse events were compared between the two groups. Results The final follow-up revealed that the postoperative Harris Hip Scores (HHS) of the COC and MOP groups were 89.9±7.5 and 92.3±8.2 points, respectively, and the difference was not statistically significant (P>0.05). The differences in revision, dislocation, prosthesis breakage, abnormal joint noise, aseptic loosening, periprosthetic osteolysis, deep infection, and catabolic ossification rate between the two groups were not statistically significant (all P>0.05). Conclusion COC and MOP prostheses both achieve good clinical efficacy, and exhibit essentially the same results for postoperative hip function and complications. |
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