Журналов:     Статей:        

Травматология и ортопедия России. 2011; : 22-29

ПРИМЕНЕНИЕ БЕСЦЕМЕНТНЫХ БЕДРЕННЫХ КОМПОНЕНТОВ ПРИ РЕВИЗИОННОМ ЭНДОПРОТЕЗИРОВАНИИ ТАЗОБЕДРЕННОГО СУСТАВА

Тихилов Р. М., Сементковский А. В., Сивков В. С., Гончаров М. Ю., Малыгин Р. В.

https://doi.org/10.21823/2311-2905-2011-0-2-22-29

Аннотация

Проведен анализ результатов лечения 85 пациентов, перенесших ревизионное эндопротезирование тазобедренного сустава в связи с асептической нестабильностью бедренного компонента. Оценены результаты использования как бесцементных ревизионных систем, так и бедренных компонентов прямоугольного сечения. Период наблюдения составил в среднем 43,96±18,81 месяца. Функциональные результаты и выживаемость бедренных компонентов прямоугольного сечения оказались не хуже, чем при использовании ревизионных систем.

Список литературы

1. Каграманов, С.В. Первичная артропластика тазобедренного сустава эндопротезом Цваймюлера / С.В. Каграманов // Эндопротезирование в России. – 2010. – Вып. 5. – С. 28–41.

2. Москалев, В.П. Медицинские и социальные проблемы эндопротезирования суставов конечностей / В.П. Москалев [и др.]. – СПб. : Морсар АВ, 2001. – 157 с.

3. Неверов, В.А. Ревизионное эндопротезирование тазобедренного сустава / В.А. Неверов, С.М. Закари – СПб. : Образование 1997. – 112с.

4. Тихилов, Р.М. Руководство по эндопротезированию тазобедренного сустава / Р.М. Тихилов. В.М. Шаповалов. – СПб. : РНИИТО им. Р.Р.Вредена, 2008. – 301 с.

5. American Academy of Orthopaedic Surgeons. Arthroplasty and total joint replacement procedures 1991 to 2000 : [эл. ресурс] // Режим доступа : http:// www.aaos.org/wordhtml/research/arthropl.htm

6. Amstutz, H.C. Revision of aseptic loose total hip arthroplasties / H.C. Amstutz [et al.] // Clin. Orthop. – 2004. – N 420. – P. 2–9.

7. Bardou-Jacquet, J. Primary aseptic revision of the femoral component of a cemented total hip arthroplasty using a cemented technique without bone graft / J. Bardou-Jacquet // Orthop. Traumatol. Surg. Res. – 2009. – Vol. 95, N 4. – P. 243–248.

8. Böhm, P. Femoral revision with the Wagner SL revision stem: evaluation of one hundred and twenty-nine revisions followed for a mean of 4.8 years / P. Böhm, O. Bischel // J. Bone Joint Surg. – 2001. – Vol. 83-A. – P. 1023–1031.

9. Böhm, P. The use of tapered stems for femoral revision surgery / P. Böhm, O. Bischel // Clin. Orthop. – 2004. – N 420. – P. 148–159.

10. Buttaro, M.A. Proximal femoral reconstructions with bone impaction grafting and metal mesh / M.A. Buttaro, F. Comba, F. Piccaluga // Clin. Orthop. – 2009. – N 467. – P. 2325–2334.

11. Della Valle, C.J. Classification and an algorithmic approach to the reconstruction of femoral deficiency in revision total hip arthroplasty / C.J. Della Valle, W.G. Paprosky // J. Bone Joint Surg. – 2003. – Vol. 85-A, Suppl. 4. – P. 1–6.

12. Engh, C.A. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results / C.A. Ehgh, J.D. Bobyn, A.H. Glassman // J. Bone Joint Surg. – 1987. – Vol. 69-B, N 1. – P. 45–55.

13. Engh, C.A. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components / C.A. Engh, P. Massin, K.E. Suthers // Clin. Orthop. – 1990. – N 257. – P. 107–128.

14. Gruen, T.A. «Modes of failure» of cemented stemtype femoral components: a radiographic analysis of loosening / T.A. Gruen, G.M. McNeice, H.C. Amstutz // Clin. Orthop. – 1979. – N 141. – P. 17–27.

15. Grönig, R. Three-to 7-year results with the uncemented SL femoral revision prosthesis / R. Grönig, E. Morscher, P.E. Ochsner // Arch. Orthop. Trauma Surg. – 1997. – Vol. 116, N 4. – P. 187–197.

16. Kim, Y.H. Revision hip arthroplasty using strut allograft and fully porous-coated stems / Y.H. Kim, J.S. Kim // J. Arthroplasty. – 2005. – Vol. 20. – P. 454–450.

17. Korovessis, P. High medium-term survival of Zweymuller SLR- Plus stem used in femoral revision / P. Korovessisk, T. Repantis // Clin. Orthop. – 2009. – N 467. – P. 2032–2040.

18. Krupp, R.J. Impaction grafting for femoral component revision using a non-polished bead-blasted chrome cobalt stem – average 8-year follow up / R.J. Krupp [et al.] // J. Arthroplasty. – 2006. – Vol. 21, N 8. – P. 1180–1186.

19. Maurer S.G. Reconstruction of the failed femoral component and proximal femoral bone loss in revision hip surgery / S.G. Maurer, A.C. Baitner, P.E. Di Cesare // J. Am. Acad. Orthop. Surg. – 2000. – Vol. 8. – P. 354–363.

20. Oetgen, M.E. Revision total hip arthroplasty using the Zweymuller femoral stem / M.E. Oetgen, M.H. Huo, K.J. Keggi // J. Orthop. Traumatol. – 2008. – Vol. 9, N 2. – P. 57–62.

21. Paprosky, W.G. Minimum 10-year results of exten¬sively porous-coated stems in revision hip arthroplasty / W.G. Paprosky, N.V. Greidanus, J. Antoniou // Clin. Orthop. – 1999. – N 369. – P. 230–342.

Traumatology and Orthopedics of Russia. 2011; : 22-29

REVISION HIP ARTHROPLASTY USING CEMENTLESS FEMORAL COMPONENTS

Tikhilov R. M., Sementkovsky A. V., Sivkov V. S., Goncharov M. Y., Malygin R. V.

https://doi.org/10.21823/2311-2905-2011-0-2-22-29

Abstract

The authors have analyzed the treatment outcomes of revision hip arthroplasty due to aseptic loosening in 85 patients. There was evaluation of both cementless revision systems as well as rectangular femoral components used for the initial hip replacement surgery. Average follow-up period was of 43,96 ± 18,81 months. Functional results and survival of rectangular femoral components used for the initial hip replacement were comparable with the results observed when cementless revision systems were used.

References

1. Kagramanov, S.V. Pervichnaya artroplastika tazobedrennogo sustava endoprotezom Tsvaimyulera / S.V. Kagramanov // Endoprotezirovanie v Rossii. – 2010. – Vyp. 5. – S. 28–41.

2. Moskalev, V.P. Meditsinskie i sotsial'nye problemy endoprotezirovaniya sustavov konechnostei / V.P. Moskalev [i dr.]. – SPb. : Morsar AV, 2001. – 157 s.

3. Neverov, V.A. Revizionnoe endoprotezirovanie tazobedrennogo sustava / V.A. Neverov, S.M. Zakari – SPb. : Obrazovanie 1997. – 112s.

4. Tikhilov, R.M. Rukovodstvo po endoprotezirovaniyu tazobedrennogo sustava / R.M. Tikhilov. V.M. Shapovalov. – SPb. : RNIITO im. R.R.Vredena, 2008. – 301 s.

5. American Academy of Orthopaedic Surgeons. Arthroplasty and total joint replacement procedures 1991 to 2000 : [el. resurs] // Rezhim dostupa : http:// www.aaos.org/wordhtml/research/arthropl.htm

6. Amstutz, H.C. Revision of aseptic loose total hip arthroplasties / H.C. Amstutz [et al.] // Clin. Orthop. – 2004. – N 420. – P. 2–9.

7. Bardou-Jacquet, J. Primary aseptic revision of the femoral component of a cemented total hip arthroplasty using a cemented technique without bone graft / J. Bardou-Jacquet // Orthop. Traumatol. Surg. Res. – 2009. – Vol. 95, N 4. – P. 243–248.

8. Böhm, P. Femoral revision with the Wagner SL revision stem: evaluation of one hundred and twenty-nine revisions followed for a mean of 4.8 years / P. Böhm, O. Bischel // J. Bone Joint Surg. – 2001. – Vol. 83-A. – P. 1023–1031.

9. Böhm, P. The use of tapered stems for femoral revision surgery / P. Böhm, O. Bischel // Clin. Orthop. – 2004. – N 420. – P. 148–159.

10. Buttaro, M.A. Proximal femoral reconstructions with bone impaction grafting and metal mesh / M.A. Buttaro, F. Comba, F. Piccaluga // Clin. Orthop. – 2009. – N 467. – P. 2325–2334.

11. Della Valle, C.J. Classification and an algorithmic approach to the reconstruction of femoral deficiency in revision total hip arthroplasty / C.J. Della Valle, W.G. Paprosky // J. Bone Joint Surg. – 2003. – Vol. 85-A, Suppl. 4. – P. 1–6.

12. Engh, C.A. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results / C.A. Ehgh, J.D. Bobyn, A.H. Glassman // J. Bone Joint Surg. – 1987. – Vol. 69-B, N 1. – P. 45–55.

13. Engh, C.A. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components / C.A. Engh, P. Massin, K.E. Suthers // Clin. Orthop. – 1990. – N 257. – P. 107–128.

14. Gruen, T.A. «Modes of failure» of cemented stemtype femoral components: a radiographic analysis of loosening / T.A. Gruen, G.M. McNeice, H.C. Amstutz // Clin. Orthop. – 1979. – N 141. – P. 17–27.

15. Grönig, R. Three-to 7-year results with the uncemented SL femoral revision prosthesis / R. Grönig, E. Morscher, P.E. Ochsner // Arch. Orthop. Trauma Surg. – 1997. – Vol. 116, N 4. – P. 187–197.

16. Kim, Y.H. Revision hip arthroplasty using strut allograft and fully porous-coated stems / Y.H. Kim, J.S. Kim // J. Arthroplasty. – 2005. – Vol. 20. – P. 454–450.

17. Korovessis, P. High medium-term survival of Zweymuller SLR- Plus stem used in femoral revision / P. Korovessisk, T. Repantis // Clin. Orthop. – 2009. – N 467. – P. 2032–2040.

18. Krupp, R.J. Impaction grafting for femoral component revision using a non-polished bead-blasted chrome cobalt stem – average 8-year follow up / R.J. Krupp [et al.] // J. Arthroplasty. – 2006. – Vol. 21, N 8. – P. 1180–1186.

19. Maurer S.G. Reconstruction of the failed femoral component and proximal femoral bone loss in revision hip surgery / S.G. Maurer, A.C. Baitner, P.E. Di Cesare // J. Am. Acad. Orthop. Surg. – 2000. – Vol. 8. – P. 354–363.

20. Oetgen, M.E. Revision total hip arthroplasty using the Zweymuller femoral stem / M.E. Oetgen, M.H. Huo, K.J. Keggi // J. Orthop. Traumatol. – 2008. – Vol. 9, N 2. – P. 57–62.

21. Paprosky, W.G. Minimum 10-year results of exten¬sively porous-coated stems in revision hip arthroplasty / W.G. Paprosky, N.V. Greidanus, J. Antoniou // Clin. Orthop. – 1999. – N 369. – P. 230–342.