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器官移植长期效应期刊

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ISSN 打印: 1050-6934

ISSN 在线: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Patient Activity after Total Hip Arthroplasty: A Comparison of Three Different Bearing Surfaces

卷 23, 册 4, 2013, pp. 315-321
DOI: 10.1615/JLongTermEffMedImplants.2013010100
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摘要

Patients who receive hip arthroplasty today desire prostheses that not only have great longevity, but are also suitable for a very active lifestyle. Advances in metallurgy, tribologic behavior, surgical technique, as well as improvements in strength and microstructure, have made ceramic-on-ceramic and metal-on-metal bearings available for young patients requiring a great deal of mobility. The purpose of this study was to assess if the bearing surface had an effect, if any, on postoperative activity levels and clinical outcomes in patients receiving three different types of hip arthroplasty. This study includes three groups of 30 patients who had each received conventional metal-on-polyethylene total hip arthroplasty (THA), ceramic-on-ceramic THA, or hip resurfacing arthroplasty. All groups were matched by men to women ratio, age, body mass index, diagnosis, preoperative activity levels, and length of follow-up. Clinical outcomes evaluated included weighted postoperative activity levels, Harris hip scores, patient satisfaction scores, revision rates, and complication rates. Patients who had received a metal-on-metal resurfacing had achieved significantly higher activity scores (mean 10.5 points; range, 1−28 points) compared to patients who had received ceramic-on-ceramic (mean 6.9 points; range, 0−34 points) or metal-on-polyethylene bearings (mean 5.6 points; range, 1−18 points). The mean postoperative Harris hip scores (94 vs 92 vs 91 points), patient satisfaction scores (9 vs 8.4 vs 8.3 points), aseptic revision (3% vs 0% vs 0%), and complication rates (3% vs 3% vs 3%) were similar between resurfacing, ceramic-on-ceramic, and metal-on-polyethylene bearing groups, respectively. This study showed that in cohorts of similarly matched arthroplasty patients in multiple demographics factors and preoperative activity levels, metal-on-metal resurfacing arthroplasty may offer higher postoperative activity levels. For patients with higher activity levels, resurfacing arthroplasty may be advantageous compared to other types of bearings.

对本文的引用
  1. Parry Michael C., Povey James, Blom Ashley W., Whitehouse Michael R., Comparison of Acetabular Bone Resection, Offset, Leg Length and Post Operative Function Between Hip Resurfacing Arthroplasty and Total Hip Arthroplasty, The Journal of Arthroplasty, 30, 10, 2015. Crossref

  2. Rajaee Sean S., Theriault Raminta V., Pevear Mary E., Smith Eric L., National Trends in Primary Total Hip Arthroplasty in Extremely Young Patients: A Focus on Bearing Surface Usage From 2009 to 2012, The Journal of Arthroplasty, 31, 9, 2016. Crossref

  3. Moroni Antonio, Miscione Maria Teresa, Orsini Riccardo, Micera Giovanni, Mosca Salvatore, Sinapi Fabrizio, De Girolamo Laura, Banfi Giuseppe, Clinical and Radiographic outcomes of the Birmingham Hip Resurfacing Arthroplasty at a Minimum follow-up of 10 Years: Results from an Independent Centre, HIP International, 27, 2, 2017. Crossref

  4. Mooiweer Yvet, van den Akker-Scheek Inge, Stevens Martin, Kardeş Sinan, Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review, PLOS ONE, 16, 12, 2021. Crossref

  5. Kahlenberg Cynthia A., Nwachukwu Benedict U., Schairer William W., Steinhaus Michael E., Cross Michael B., Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review, Orthopedics, 40, 3, 2017. Crossref

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