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Clinical and radiographic assessment of cementless acetabular revision with morsellised allografts.

机译:临床和X线评估髋臼置换的非骨水泥化。

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The aim of this study was to evaluate the clinical and radiographic results of cementless acetabular revision with deep frozen morsellised allografts. Sixty-one patients (65 hips) underwent acetabular revision using cementless components and deep frozen morsellised allografts. Fifty-seven hips (53 patients) were reviewed at a mean of 105.1 months (range 72-180 months) after revision. The study group included 29 males and 24 females with a mean age of 46.4 years. One cup underwent further revision for aseptic loosening and two were defined as radiographic failures. The mean time for allograft incorporation was 12.5 months (range 6-24 months) after index surgery. The mean Harris hip score of the patients improved from 61.1 points preoperatively to 91.6 points postoperatively. Linear and cavitary osteolysis was observed in two and 12 hips, respectively. The acetabular revision using cementless components with deep frozen morsellized allografts provides favourable clinical and radiographic results, although the initial disease and age may adversely affect the outcomes.
机译:这项研究的目的是评估非冷冻髋臼干同种异体移植的非骨水泥髋臼翻修的临床和影像学结果。六十一名患者(65髋)使用非骨水泥组件和深冷冻的干粉状异体移植物进行髋臼翻修。翻修后平均105.1个月(72-180个月)对57例髋关节(53例患者)进行了检查。研究组包括29名男性和24名女性,平均年龄为46.4岁。对一个杯子进行了无菌松动的进一步修订,其中两个被定义为射线照相失败。进行同种异体移植的平均时间为索引手术后的12.5个月(6-24个月)。患者的平均Harris髋关节评分从术前的61.1分提高到术后的91.6分。分别在两个和12个髋部观察到线性和空洞性骨溶解。尽管最初的疾病和年龄可能对预后产生不利影响,但使用非骨水泥成分联合深度冷冻的杂散化同种异体移植进行髋臼翻修可提供良好的临床和影像学检查结果。

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