中国骨伤2026，Vol.39Issue(2)：164-171,8.DOI:10.12200/j.issn.1003-0034.20241013
两种翻修方式治疗Paprosky Ⅲ型重度髋臼骨缺损
Treatment of Paprosky type Ⅲ severe acetabular bone defects with two revision methods
摘要
Abstract
Objective To investigate the mid-term clinical efficacy of two acetabular revision methods in the treatment of severe Paprosky type Ⅲ acetabular bone defects.Methods Clinical data of patients with severe acetabular defects who under-went surgical treatment were collected from July 2012 to March 2019,including 8 males and 11 females,all belong to Paprosky type Ⅲand underwent unilateral hip joint revision;12 cases(Group A)underwent revision using tantalum metal augment com-bined with porous biological tantalum cup,and 7 cases(Group B)underwent revision using titanium mesh compression bone grafting combined with cement prosthesis.Record the patient's surgical times,bleeding volumes,and complications,evaluate preoperative and postoperative X-rays as well as Harris scores.Results The average surgical time and intraoperative blood loss in Group A were(135.00±20.23)min and(828.57±213.81)mL,respectively.The Group B were(162.86±16.07)min and(1557.14±439.16)mL,respectively.The difference between two groups was statistically significant(P＜0.05).The follow-up period ranged from 2 to 12 years.At the end of the follow-up,the Harris score in Group A increased from(36.25±6.88)scores to(82.67±7.16)scores(P＜0.05);the Harris score in Group B increased from(33.29±5.22)scores to(79.29±5.62)scores(P＜0.05).Among all patients,only 1 case had postoperative periprosthetic fracture,3 cases had lower limb venous thrombosis,and the rest had no neurovascular injury,infection,or early prosthesis loosening.Conclusion the two acetabular revision meth-ods can achieve satisfactory mid-term clinical efficacy in the treatment of Paprosky type Ⅲ severe acetabular bone defects.关键词
关节成形术,髋,置换/钽/骨水泥Key words
Arthroplasty,hip,replacement/Tantalum/Bone cement分类
医药卫生引用本文复制引用
谢尚举,王拓,胡华辉,曹国平,吴权,楼红侃,叶春..两种翻修方式治疗Paprosky Ⅲ型重度髋臼骨缺损[J].中国骨伤,2026,39(2):164-171,8.基金项目
浙江省医药卫生项目(编号:2020KY796)Zhejiang Medical and Health Project(No.2020KY796) （编号:2020KY796）
