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

Abstract
Figure/Table
References
Related Citation (8)

Download: PDF (946 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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 Orthopedics of Shaanxi Provincial Corps Hospital of Chinese People’s Armed Police Force were collected, and divided into bone cement fixation group (61 cases) and cementless fixation group (85 cases) according to fixation methods. Kaplan-Meier survival analysis was performed to evaluate the survival time of two fixed prostheses after primary total hip arthroplasty. Results There was no statistically significant 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 cementless 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.

Key words： total hip arthroplasty cement cementless survival analysis

Received: 18 September 2023

R687.4

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	BAI Guoxi
	LIU Xiaohong
	YANG Yan
	LI Zhanning
	LI Jianwu
	LV Shangjun

Cite this article:

BAI Guoxi,LIU Xiaohong,YANG Yan等. Effect of different fixation methods on survival of prosthesis in primary total hip arthroplasty[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(1): 21-24.

URL:

https://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR https://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2024/V35/I1/21

[4]	Kubinec V.Influence of the type of hip-component fixation and age of patients on mid-term revision rate of total hip replacement[J]. Acta Chir Orthop Traumatol Cech,2018,85(1):46-53.
[1]	Prokopetz J J, Losina E, Bliss R L,et al.Risk factors for revision of primary total hip arthroplasty: a systematic review [J].BMC Musculoskel Dis, 2012, 13:251.
[5]	Cassar-Gheiti A J, McColgan R, Kelly M, et al.Current concepts and outcomes in cemented femoral stem design and cementation techniques: the argument for a new classification system[J]. EFORT Open Rev,2020,5(4):241-252.
[2]	Ulrich S D, Seyler T M, Bennett D, et al.Total hip arthroplasties: what are the reasons for revision? [J].Int Orthop,2008,32(5):597-604.
[6]	Hooper G J, Rothwell A G, Stringer M,et al. Revision following cemented and uncemented primary total hip replacement: a seven-year analysis from the New Zealand Joint Registry[J].J Bone Joint Surg Br, 2009, 91(4):451-458.
[3]	Meding J B, Ritter M A, Davis K E,et al. Cemented and uncemented total hip arthroplasty using the same femoral component[J]. Hip Int,2016,26(1):62-66.
[7]	Hailer N P, Garellick G, Kärrholm J. Uncemented and cemented primary total hip arthroplasty in the Swedish Hip Arthroplasty Register[J]. Acta Orthop,2010,81(1):34-41.
[4]	Kubinec V.Influence of the type of hip-component fixation and age of patients on mid-term revision rate of total hip replacement[J]. Acta Chir Orthop Traumatol Cech,2018,85(1):46-53.
[8]	Lie S A, Fenstad A M, Lygre S H L, et al. Kaplan-meier and cox regression are preferable for the analysis of time to revision of joint arthroplasty: thirty-one years of follow-up for cemented and uncemented thas inserted from 1987 to 2000 in theNorwegian Arthroplasty Register[J]. JBJS Open Access,2022,7(1):e21.00108.
[5]	Cassar-Gheiti A J, McColgan R, Kelly M, et al.Current concepts and outcomes in cemented femoral stem design and cementation techniques: the argument for a new classification system[J]. EFORT Open Rev,2020,5(4):241-252.
[9]	Mäkelä K T, Matilainen M, Pulkkinen P, et al. Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations[J]. BMJ,2014, 13:7592.
[6]	Hooper G J, Rothwell A G, Stringer M,et al. Revision following cemented and uncemented primary total hip replacement: a seven-year analysis from the New Zealand Joint Registry[J].J Bone Joint Surg Br, 2009, 91(4):451-458.
[10]	Bloemheuvel E M, van Steenbergen L N, Swierstra B A. Comparable mortality but higher revision rate after uncemented compared with cemented total hip arthroplasties in patients 80 years and older: report of 43053 cases of the Dutch Arthroplasty Register[J]. Acta Orthop,2022,93:151-157.
[7]	Hailer N P, Garellick G, Kärrholm J. Uncemented and cemented primary total hip arthroplasty in the Swedish Hip Arthroplasty Register[J]. Acta Orthop,2010,81(1):34-41.
[11]	Jämsen E, Eskelinen A, Peltola M, et al. High early failure rate after cementless hip replacement in the octogenarian[J]. Clin Orthop Relat Res,2014,472(9):2779-2789.
[8]	Lie S A, Fenstad A M, Lygre S H L, et al. Kaplan-meier and cox regression are preferable for the analysis of time to revision of joint arthroplasty: thirty-one years of follow-up for cemented and uncemented thas inserted from 1987 to 2000 in theNorwegian Arthroplasty Register[J]. JBJS Open Access,2022,7(1):e21.00108.
[12]	Morshed S, Bozic K J, Ries M D, et al. Comparison of cemented and uncemented fixation in total hip replacement.a meta-analysis[J]. Acta Orthop,2007,78(3):315-326.
[9]	Mäkelä K T, Matilainen M, Pulkkinen P, et al. Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations[J]. BMJ,2014, 13:7592.
[13]	Clement N D, Linden M, Keating J F. Higher rate of complications with uncemented compared to cemented total hip arthroplasty for displaced intracapsular hip fractures: a randomised controlled trial of 50 patients[J]. Eur J Orthop Surg Traumatol, 2021,31(3):587-594.
[10]	Bloemheuvel E M, van Steenbergen L N, Swierstra B A. Comparable mortality but higher revision rate after uncemented compared with cemented total hip arthroplasties in patients 80 years and older: report of 43053 cases of the Dutch Arthroplasty Register[J]. Acta Orthop,2022,93:151-157.
[14]	Yang C, Han X, Wang J, et al.Cemented versus uncemented femoral component total hip arthroplasty in elderly patients with primary osteoporosis: retrospective analysis with 5-year follow-up[J]. J Int Med Res, 2019,47(4):1610-1619.
[11]	Jämsen E, Eskelinen A, Peltola M, et al. High early failure rate after cementless hip replacement in the octogenarian[J]. Clin Orthop Relat Res,2014,472(9):2779-2789.
[15]	Raja B S, Gowda A K S, Singh S, et al. Comparison of functional outcomes and complications of cemented vsuncemented total hip arthroplasty in the elderly neck of femur fracture patients: a systematic review and meta-analysis[J]. J Clin Orthop Trauma,2022,22(29):101876.
[12]	Morshed S, Bozic K J, Ries M D, et al. Comparison of cemented and uncemented fixation in total hip replacement.a meta-analysis[J]. Acta Orthop,2007,78(3):315-326.
[16]	Hanif M, Arshad N, Habib Y, et al. Effect of cementing technique on aseptic stem loosening in cemented primary total hip arthroplasty: a systematic review and meta-analysis[J]. Ann Med Surg (Lond),2023, 85(6):2884-2895.
[13]	Clement N D, Linden M, Keating J F. Higher rate of complications with uncemented compared to cemented total hip arthroplasty for displaced intracapsular hip fractures: a randomised controlled trial of 50 patients[J]. Eur J Orthop Surg Traumatol, 2021,31(3):587-594.
[17]	Kuijpers M F L, Hannink G, Steenbergen L N,et al.Total hip arthroplasty in young patients in the netherlands: trend analysis of >19000 primary hip replacements in the Dutch arthroplastyregister[J]. J Arthroplasty,2018,33(12):3704-3711.
[14]	Yang C, Han X, Wang J, et al.Cemented versus uncemented femoral component total hip arthroplasty in elderly patients with primary osteoporosis: retrospective analysis with 5-year follow-up[J]. J Int Med Res, 2019,47(4):1610-1619.
[18]	Zhang C, Chen M, Yu W, et al.Long-term survival after cemented versus uncemented total hip arthroplasty for treatment of acute femoral neck fracture: a retrospective study with a mean 10-year follow-up[J]. J Int Med Res, 2020,48(9).
[15]	Raja B S, Gowda A K S, Singh S, et al. Comparison of functional outcomes and complications of cemented vsuncemented total hip arthroplasty in the elderly neck of femur fracture patients: a systematic review and meta-analysis[J]. J Clin Orthop Trauma,2022,22(29):101876.
[19]	de Martino I, de Santis V, D′Apolito R, et al. The Synergy cementless femoral stem in primary total hip arthroplasty at a minimum follow-up of 15 years[J]. Bone Joint J, 2017,99 (1):29-36.
[16]	Hanif M, Arshad N, Habib Y, et al. Effect of cementing technique on aseptic stem loosening in cemented primary total hip arthroplasty: a systematic review and meta-analysis[J]. Ann Med Surg (Lond),2023, 85(6):2884-2895.
[20]	Park J W, Ko Y S, Park S, et al. Cemented versus cementless total hip arthroplasty for femoral head osteonecrosis: a study based on national claim data in south korea[J].J Am Acad Orthop Surg Glob Res Rev,2023,7(5):e23.00029.
[17]	Kuijpers M F L, Hannink G, Steenbergen L N,et al.Total hip arthroplasty in young patients in the netherlands: trend analysis of >19000 primary hip replacements in the Dutch arthroplastyregister[J]. J Arthroplasty,2018,33(12):3704-3711.
[21]	Melbye S M, Haug S C D, Fenstad A M, et al. How does implant survivorship vary with different corail femoral stem variants? Results of 51212 cases with up to 30 years of follow-up from the Norwegian Arthroplasty Register[J].Clin Orthop Relat Res,2021,479(10):2169-2180.
[18]	Zhang C, Chen M, Yu W, et al.Long-term survival after cemented versus uncemented total hip arthroplasty for treatment of acute femoral neck fracture: a retrospective study with a mean 10-year follow-up[J]. J Int Med Res, 2020,48(9).
[22]	Tanzer M, Graves S E, Peng A, et al.Is cemented or cementless femoral atem fixation more durable in patients older than 75 years of age? A comparison of the aest-performing stems[J]. Clin Orthop Relat Res,2018,476(7):1428-1437.