Acetabular reconstruction by impacted cancellous allografts in cementless total hip arthroplasty revision
| العنوان: | Acetabular reconstruction by impacted cancellous allografts in cementless total hip arthroplasty revision |
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| المؤلفون: | Ömer Faruk Bilgen, Mutlu Danış, Muhammet Sadık Bilgen, Tevfik Oncan |
| المصدر: | Volume: 46, Issue: 2 120-125 Acta Orthopaedica et Traumatologica Turcica |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Joint Instability, Male, Reoperation, medicine.medical_specialty, Radiography, medicine.medical_treatment, Arthroplasty, Replacement, Hip, Dentistry, Asetabuler komponent,çimentosuz revizyon,kansellöz allogreft, Disability Evaluation, Postoperative Complications, Health Care Sciences and Services, medicine, Humans, Transplantation, Homologous, Orthopedics and Sports Medicine, Sağlık Bilimleri ve Hizmetleri, Range of Motion, Articular, Angle of inclination, Bone Transplantation, business.industry, Acetabular reconstruction, Acetabular component,cancellous allograft,cementless revision, Acetabulum, General Medicine, Recovery of Function, Middle Aged, Arthroplasty, Surgery, Transplantation, Treatment Outcome, Harris Hip Score, Female, business, Range of motion, Total hip arthroplasty |
| الوصف: | Objective: The aim of this study was to evaluate the primary and secondary stability, where 100% or virtually 100% of the uncemented acetabular component contacted with impacted cancellous allografts, focusing especially on the amount of graft used and rim contact.Methods: Fifteen cases of acetabular reconstruction using impacted cancellous allografts and cementless porous-coated component in which 100% or virtually 100% of the component contacted only with the allograft were reviewed. Mean follow-up was 97.5 (range: 58 to 130) months after revision. The Harris hip score was used to evaluate clinical results. Radiographic evaluations were done using standard anteroposterior views obtained at the final follow-up.Results: Two patients underwent re-revision. The mean Harris hip score of the remaining 13 patients was 88.3±11.9 (range: 68 to 100) at the final follow-up. Early postoperative radiographs showed mean angle of inclination of 45° (range: 30° to 55°). There was a mean migration of 6.2±7.8 (range: 0 to 29) mm and the migration amount did not differ according to rim contact (p=0.054). There was no correlation between migration and amount of graft used (p>0.05). There was a significant correlation between migration and follow-up time (p Amaç: Bu çalışmada, revizyon kalça artroplastisinde impakte spongioz allogreft üzerinden yapılan asetabuler komponent tespiti sonrası sağlanan primer ve sekonder stabilitenin değerlendirilmesi amaçlandı. Çalışma planı: İmpakte kansellöz allogreft ve çimentosuz poroz kaplı komponentin %100’ünün veya %100’e yakınının allogreft ile temas ettiği durumlarda 15 olguda gerçekleştirilen asetabulum rekonstrüksiyonu değerlendirildi. Revizyon sonrası ortalama takip süresi 97.5 (dağılım: 58-130) ay idi. Klinik sonuçların değerlendirilmesinde Harris kalça skorundan yararlanıldı. Radyografik değerlendirmeler son kontrollerde alınan ön-arka grafi görüntülerine dayanarak yapıldı. Bulgular: İki hastaya tekrar revizyon yapıldı. Kalan 13 hastanın son kontroldeki ortalama Harris kalça skoru 88.3±11.9 (dağılım: 68-100) idi. Ameliyat sonrası erken dönem grafilerinde ortalama inklinasyon açısı 45° (dağılım: 30°-55°) olarak ölçüldü. Ortalama migrasyon 6.2±7.8 (dağılım: 0-29) mm idi ve bu mesafe kenar temasına bağlı olarak değişim göstermedi (p=0.054). Migrasyon ve kullanılan greft miktarı arasında korelasyon yoktu (p>0.05). Migrasyon ve takip süresi arasında anlamlı korelasyon vardı (p |
| وصف الملف: | application/pdf |
| تدمد: | 2589-1294 1017-995X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0e64f50191147656fe110c4baf68642d https://pubmed.ncbi.nlm.nih.gov/22491437 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....0e64f50191147656fe110c4baf68642d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25891294 1017995X |
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