全髋关节置换翻修两种垫块填充髋臼骨缺损比较
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中国科学技术大学附属第一医院

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Comparison of two kinds of augments for acetabular defects in total revision of hip
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The 1st affiliated hospital of USTC

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    摘要:

    [目的]:探索一种新型半球形3D打印钛金属垫块在髋关节翻修髋臼侧重建中的应用,比较该新型垫块与传统橘瓣形钽金属垫块的临床应用效果。[方法]:回顾性选择2018年1月至2019年6月期间,在中科大附一院骨科使用垫块重建髋臼的全髋关节翻修术的67例(67髋),其中35例患者体内植入半球面钛垫块(HTA组),另外32例患者使用橘瓣形钽垫块(OSTA组)重建。在最后一次随访后,分别评估两组的临床和影像学结果。[结果]:两组患者均随访两年以上。两组在Harris髋关节评分,髋臼旋转中心的恢复(HCOR)以及双下肢长度差异(LLD)在两组中无明显差异;比较髋臼侧重建时间,实验组平均33.8min(16min~52min),对照组平均62.2min(30min~84min),差异具有统计学意义。所有患者假体均无松动或移位现象。[结论]:半球面金属垫块和钽金属垫块的临床和影像学结果相当,但手术过程的重建更加快速便捷。该技术是严重髋臼骨缺损重建的可靠替代方法。

    Abstract:

    Abstract:[Objective] To explore the application of a new type of hemispherical 3D printing augments in Acetabular bone defects reconstruction, and to compare the outcomes of hemispherical augments and tantalum augments. [Methods] A retrospective study was conducted on 67 patients (67 hips)from January 2018 to June 2019 who underwent hip revision surgery.35 patients(35 hips)were treated with hemispherical titanium augments(HTA Group) and the other 32 patients(32 hips) were treated with orange slice-shaped tantalum augments (OSTA Group). After the last follow-up, the clinical and imaging outcomes of 35 patients in the BA group and 32 patients in the TA group were evaluated separately. [Results] Both groups were followed up for more than two years. There were no significant differences in Harris hip score, the restoration of hip center of rotation (HCOR), and the leg length discrepancy (LLD) between the two groups. Comparing the time of Acetabular reconstruction, the experimental group averaged 33.8min (16min~52min)and the control group averaged 62.2min (30min~84min), the difference was statistically significant. There was no loosening or displacement of the prosthesis in all patients. [Conclusion] The clinical and imaging results of hemispherical augments and tantalum augments are similar, but the reconstruction of the surgical procedure is more rapid and convenient. This technique is a reliable alternative for reconstruction of severe acetabular bone defects.

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  • 收稿日期:2022-08-01
  • 最后修改日期:2022-10-12
  • 录用日期:2022-12-08
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