A Long-Term Survivorship Comparison Between Cemented and Uncemented Cups With Shelf Grafts in Revision Total Hip Arthroplasty After Dysplasia

被引：12
|
作者：
Sternheim, Amir [1 ]
Abolghasemian, Mansour [1 ]
Safir, Oleg A. [1 ]
Backstein, David [1 ]
Gross, Allan E. [1 ]
Kuzyk, Paul R. [1 ]
机构：
[1] Mt Sinai Hosp, Div Orthopaed Surg, Toronto, ON M5G 1X5, Canada
来源：
JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 02期
关键词：
revision hip arthroplasty; hip dysplasia of adulthood; structural shelf allograft; cemented acetabular cups; uncemented acetabular cups; FEMORAL-HEAD; ACETABULAR RECONSTRUCTION; DEVELOPMENTAL DYSPLASIA; BONE-GRAFTS; FOLLOW-UP; REPLACEMENT; DEFICIENCY; CLASSIFICATION; ALLOGRAFTS; SURVIVAL;
D O I：
10.1016/j.arth.2012.06.004
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Long-term outcomes of cemented and uncemented cups were compared in patients with hip dysplasia who had undergone revision hip arthroplasty. Patients had uncontained superolateral acetabular defects reconstructed with a structural allograft. This retrospective study compared 18 cemented acetabular cups to 27 uncemented acetabular cups. Average follow-up was 216 months (range, 96-312). Nineteen acetabular cups (42%) failed due to loosening and were revised. The 10- and 20-year cup survival was 88% and 76% in the uncemented group and 67% and 36% in the cemented group. Log rank analysis showed this difference to be significant (P = .0077). Uncemented acetabular cups performed significantly better than cemented cups.
引用
收藏
页码：303 / 308
页数：6
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