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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

白国玺 刘晓红 杨艳 李战宁 李建武 吕尚军

武警医学2024,Vol.35Issue(1):21-24,4.
武警医学2024,Vol.35Issue(1):21-24,4.

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

Effect of different fixation methods on survival of prosthesis in primary total hip arthro-plasty

白国玺 1刘晓红 2杨艳 1李战宁 1李建武 1吕尚军3

作者信息

  • 1. 710086 西安,武警陕西总队医院:骨科
  • 2. 710086 西安,武警陕西总队医院:医学心理科
  • 3. 710086 西安,武警陕西总队医院:烧伤整形门诊
  • 折叠

摘要

Abstract

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 Orthope-dics of Shaanxi Provincial Corps Hospital of Chinese People's Armed Police Force were collected,and divided into bone cement fixa-tion group(61 cases)and cementless fixation group(85 cases)according to fixation methods.Kaplan-Meier survival analysis was per-formed to evaluate the survival time of two fixed prostheses after primary total hip arthroplasty.Results There was no statistically sig-nificant 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 cement-less 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 cementless-fixed 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.

关键词

全髋关节置换术/骨水泥/非骨水泥/生存分析

Key words

total hip arthroplasty/cement/cementless/survival analysis

分类

医药卫生

引用本文复制引用

白国玺,刘晓红,杨艳,李战宁,李建武,吕尚军..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[J].武警医学,2024,35(1):21-24,4.

武警医学

OACSTPCD

1004-3594

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