毛宾尧;李新春;王毳;司全明;

• 1:宁波大学附属浙江省宁波市第一医院宁波市骨科研究所

摘要(Abstract)：

[目的]观察Ribbed股骨柄髋假体全髋关节置换后的远期疗效。[方法]自1999年6月～2002年5月,采用解剖柄HA涂层Ribbed髋假体施行非骨水泥固定人工全髋关节置换126例,获平均11年4个月随访24例26髋,男14例,女10例;年龄43～68岁,平均59.4岁。术前疾病:股骨头缺血坏死13例(双侧2例),股骨颈骨折9例,髋关节发育不良2例。术后7～10d,术后6个月和每年1次随访X线片,对髋关节功能依末次随访状况行Harris评分。[结果]依末次随访Harris评价法,获85～100分16例18髋,75～84分8例8髋。轻微大腿痛1例1髋,X线片显示轻微骨吸收1例1髋,无一患髋需行翻修术。术后6个月～3年X线片显示于HA涂层部位近段骨吸收于Gruen5,6区和2,3区1例1髋。所有病例的骨锚固和松质骨、皮质骨骨密度轻度增高,显示髋假体-骨固定良好。[结论]Ribbed髋假体的初始固定能促进早期骨长入达到生物固定目标,并阻碍聚乙烯磨屑髓内迁徙致大腿痛和骨吸收,其长期疗效肯定。

关键词(KeyWords)： 髋关节;关节成形;羟基磷灰石

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 毛宾尧;李新春;王毳;司全明;

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参考文献(References)：

• [1]Santori FS,Ghera S,Moriconi A,et al.Results of the anatom-ic cementless prosthesis with different types of hydroxyapatite coating[J].Orthopedics,2001,12:1147-1150.
• [2]Rorabeck CH.Tapered hydroxyapatite-coated press-fit stems:any added value[J].J Arthroplasty,2006,1:85-88.
• [3]Singh S,Trikha SP,Edge AJ.Hydroxyapatite ceramic-coated femoral stems in young patients:a prospective ten-year study[J].J Bone Joint Surg(Br),2004,8:1118-1123.
• [4]Goetz DD,Smith EJ,Harris WH.The prevalence of femoral osteolysis associcated with components inserted with or with-out cement in total hip replacements:a retrospective matched-pair series[J].J Bone Joint Surg(Am),1994,8:1121-1129.
• [5]Biebaum BE,Zeegen EN,Dayton MR.Hydroxyapatite coating on the femoral stem in primary total hip arthroplasty[J].Or-thopedics,2003,9:913-914.
• [6]毛宾尧,应忠追,李新春,等.67例全髋关节置换术后13年的随访结果[J].中华关节外科杂志,2008,5:16-18.
• [7]Geesink RG.Osteoconductive coatings for total joint arthro-plasty[J].Clin Orthop Relat Res,2002,395:53-65.
• [8]Gosens T,van Langelaan EJ,Tonino AJ.Cementless Mallory-head HA-coated hip arthroplasty for osteoarthritis in hip dys-plasia[J].J Arthroplasty,2003,4:401-410.
• [9]Capello WN,D'Antonio JA,Jaffe WL,et al.Hydroxyapatite-coated femoral component:15-year minimum followup[J].Clin Orthop Relat Res,2006,435:75-80.
• [10]Schreurs BW,Zengerin KM,Welten ML,et al.Bone impac-tion grafting and a cemented cup after acetabular fracture at3-18years[J].Clin Orthop Relat Res,2005,437:145-151.
• [11]Meijerink HJ,Gardeniers JW,Buma P,et al.Hydroxyapatite does not improve the outcome of a bipolar hemiarthroplasty[J].Clin Orthop Relat Res,2004,421:143-150.