Midterm results with Birmingham Hip Resurfacing/Synergy stem modular metal-on-metal total hip arthroplasty

被引：0
|
作者：
Hosny, Hazem A. H. [1 ]
Srinivasan, Sreebala C. M. [1 ]
Keenan, Jonathan [1 ]
Fekry, Helmy [1 ]
机构：
[1] Derriford Hosp, Plymouth PL6 8DH, Devon, England
来源：
ACTA ORTHOPAEDICA BELGICA | 2013年 / 79卷 / 04期
关键词：
metal on metal; hip replacement; outcome; FAILURE; REPLACEMENT; BEARINGS; 5-YEAR;
D O I：
暂无
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：
Large head modular metal-on-metal total hip replacement (MoMTHR) has been shown to have increased revision rates in the National joint registry and in literature. We reviewed 41 consecutive patients with 44 hips who had large head MoM THR using a Birmingham Hip Resurfacing (BHR) cup/Synergy stem combination between June 2005 and Nov 2009 with a mean follow-up of 59.5 months. In this series we had a revision rate of 6.8% (3/44) for adverse reaction to metal debris (ARMD), persistent groin pain and instability. Kaplan-Meier analysis showed a mean cumulative survival rate of 79.2% (95% CI : 75.5%-82.9%) In addition there is a subset of 5/44 patients (11.3%) with mild grade groin pain who may need revision in the future. Based on these findings, we do not recommend performance of large head MoMTHR in the future.
引用
收藏
页码：386 / 391
页数：6
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