摘要
目的探讨初次人工全髋关节置换术不同固定方式对假体生存的影响。方法收集2000-04至2013-11武警陕西总队医院骨科初次人工全髋关节置换术且需要翻修病例146例,根据固定方式分为骨水泥固定组(61例),非骨水泥固定组(85例),进行回顾性分析,对初次人工全髋关节置换术后两种固定方式的假体生存时间进行Kaplan-Meier生存分析。结果两组患者初次行人工全髋关节置换手术时的年龄无统计学差异(P=0.4287),骨水泥固定组假体生存时间0.5~240个月,平均(75.741±7.507)个月;非骨水泥固定组假体生存时间0.3~228个月,平均(67.656±6.689)个月。两组病例假体生存时间差异无统计学意义(P>0.05)。结论初次人工全髋关节置换中,骨水泥固定类形假体生存时间与非骨水泥固定类型假体生存时间无统计学差异,两种固定方式对假体生存无影响,翻修风险相同,临床效果相同。
Objective To investigate the effect of different fixation methods on the survival of prosthesis in primary total hip arthroplasty.Methods From 2000 to 2013,146 cases of primary total hip arthroplasty requiring revision in the Department of Orthopedics of Shaanxi Provincial Corps Hospital of Chinese People’s Armed Police Force were collected,and divided into bone cement fixation group(61 cases)and cementless fixation group(85 cases)according to fixation methods.Kaplan-Meier survival analysis was performed to evaluate the survival time of two fixed prostheses after primary total hip arthroplasty.Results There was no statistically significant difference in the age between the two groups at the time of initial total hip replacement(P=0.428).Kaplan-Meier survivorship of cement prosthesis was 0.5-240 month,with an average of(75.741±7.507)months.The survival time of prostheses in the cementless group was 0.3-228 month,with an average of(67.656±6.689)months.There was no significant difference in the survival time between cement and cementless prosthesis after primary total hip arthroplasty.The results didn’t have statistical significance(P>0.05).Conclusions There is no statistical difference between the survival time of cement-fixed prostheses and that of cementlessfixed prostheses in the primary total hip arthroplasty.The two fixation methods have no effect on the survival of prostheses.The revision risk is the same and the clinical effect is the same.
作者
白国玺
刘晓红
杨艳
李战宁
李建武
吕尚军
BAI Guoxi;LIU Xiaohong;YANG Yan;LI Zhanning;LI Jianwu;LV Shangjun(Department of Orthopaedics,Shaanxi Provincial Corps Hospital of Chinese People’s Armed Police Force,Xi’an 710086,China;Department of Medical Psychology,Shaanxi Provincial Corps Hospital of Chinese People’s Armed Police Force,Xi’an 710086,China;Burns and Plastic Surgery,Shaanxi Provincial Corps Hospital of Chinese People’s Armed Police Force,Xi’an 710086,China)
出处
《武警医学》
CAS
2024年第1期21-24,共4页
Medical Journal of the Chinese People's Armed Police Force
