| Autor: |
Busch VJ; Department of Orthopaedics 357, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands., Gardeniers JW, Verdonschot N, Slooff TJ, Schreurs BW |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of bone and joint surgery. American volume [J Bone Joint Surg Am] 2011 Feb 16; Vol. 93 (4), pp. 367-71. |
| DOI: |
10.2106/JBJS.I.01532 |
| Abstrakt: |
In a previous report, we presented our results of forty-two acetabular reconstructions, performed with use of impaction bone-grafting and a cemented polyethylene cup, in thirty-seven patients who were younger than fifty years and had a minimum of fifteen years of follow-up. The present update study shows the results after twenty to twenty-eight years. Eight additional cups had to be revised--four because of aseptic loosening, three because of wear, and one during a revision of the stem. Three additional cups were considered loose on radiographs. Survivorship of the acetabular reconstructions, with an end point of revision for any reason, was 73% after twenty years and 52% after twenty-five years. With revision for aseptic loosening as the end point, survival was 85% after twenty years and 77% after twenty-five years; for signs of loosening on radiographs, survival was 71% at twenty years and 62% at twenty-five years. In conclusion, our previous results have declined but the technique of using impacted morselized bone graft and a cemented cup is useful for the purpose of restoring bone stock in young patients whose acetabular defects require primary or revision total hip arthroplasty. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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