伯明翰部重新表面化在20年后
Rohit Dhawan1, David A Young1, Anthony Van Eemeren1
1Melbourne Orthopedic Group, Melbourne, Victoria, Australia.
The bone & joint journal
|August 31, 2023
概括
伯明翰部表面修复 (BHR) 关节塑造显示出出色的20年生存和功能结果,特别是在年轻男性患者中. 金属对金属植入物耐受性良好,在这个队列中没有观察到伪瘤.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 临床结果研究研究
背景情况:
- 伯明翰部表面修复 (BHR) 关节整形术是一种金属对金属部表面修复装置,自1997年以来一直用于硬化.
- 关于BHR存活率和患者结果的长期数据对于了解其疗效和安全性概况至关重要.
研究的目的:
- 评估连续20年伯明翰部表面修复 (BHR) 关节置换术的临床和放射性结果.
- 在植入后二十年评估植入物存活率,功能评分和血清金属离子水平.
主要方法:
- 分析了217名患者 (1999-2001) 连续234次伯明翰部修复植入物 (BHR) 的一系列.
- 收集的数据包括患者报告的结果测量,成像 (射线图,超声波),血清金属离子评估以及用于修订分析的注册数据.
- 进行了卡普兰-梅尔生存率分析,以任何原因的修订为终点.
主要成果:
- 平均随访时间为20.9年,男性的累积植入物存活率为96.5%,女性为87% (p=0.029).
- 报告了优秀的功能结果,在牛津关节评分,关节残疾和骨关节炎结局评分,遗忘关节评分和EuroQol5维3级问卷中得分高.
- 超声波显示没有伪瘤,平均血清和水平处于可接受范围内,表明耐受性良好.
结论:
- 伯明翰部表面修复 (BHR) 关节塑造证明了优秀的长期生存率和功能结果,特别是在年轻的男性患者中.
- 金属对金属复合植入物在20年后似乎耐受得很好,没有显著的软组织并发症或涉及金属离子水平.
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