在全关节置换中使用不同杯子的无项圈-抛光-圆的茎进行修订的多因素分析
Yu Hong1, Linda Johnston1, Weijie Wang1
1University Department of Orthopaedic and Trauma Surgery, Ninewells Hospital and Medical School, TORT Centre, University of Dundee, Dundee, UK.
Orthopaedic surgery
|June 29, 2023
概括
在Total Hip Replacement (THR) 中,Trilogy杯表现出优异的存活率,当与无项圈抛光缩 (CPT) 茎一起使用时,在修复病例中表现优于Continuum和ZCA杯.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 临床结果研究研究
背景情况:
- 无项圈抛光缩 (CPT) 茎通常用于全关节置换 (THR).
- 用于CPT茎的最佳acetabular杯仍然不清楚.
- 本研究评估了使用CPT茎的不同杯型的性能.
研究的目的:
- 在THR中与CPT茎配对时,比较三种常用的乙体杯 (ZCA All-poly,Continuum,Trilogy) 的修订和存活率.
- 为了确定使用CPT茎的最佳性能杯子.
主要方法:
- 一项队列研究分析了英国5981名THR患者 (1998-2021) 的数据.
- 数据包括患者人口统计,手术细节,杯型,生存寿命和哈里斯部分数 (HHS).
- 统计分析包括千平方测试,ANOVA和使用SPSS软件的生存分析.
主要成果:
- 连续杯显示了在1年和5年后的最高手术后哈里斯部分数.
- 三国杯表现出最好的生存率和最低的修订率.
- 与Trilogy和Continuum相比,ZCA杯具有最低的哈里斯部分数和较差的生存结果.
结论:
- 推使用Trilogy acetabular cup与CPT茎一起使用,因为它具有优越的生存趋势和较低的修订率.
- 虽然Continuum杯提供了更好的短期功能结果 (HHS),但Trilogy杯提供了更好的长期植入物存活率.
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