陶瓷
全髋关节置换术
医学
髋关节置换术
口腔正畸科
牙科
外科
材料科学
复合材料
作者
Per Salo,Petri Honkanen,Ю П Иванова,Aleksi Reito,Jorma Pajamäki,Antti Eskelinen
出处
期刊:The bone & joint journal
[British Editorial Society of Bone and Joint Surgery]
日期:2017-01-01
卷期号:99-B (1): 44-50
被引量:31
标识
DOI:10.1302/0301-620x.99b1.37612
摘要
Aims We evaluated the short-term functional outcome and prevalence of bearing-specific generation of audible noise in 301 patients (336 hips) operated on with fourth generation (Delta) medium diameter head, ceramic-on-ceramic (CoC) total hip arthroplasties (THAs). Patients and Methods There were 191 female (63%) and 110 male patients (37%) with a mean age of 61 years (29 to 78) and mean follow-up of 2.1 years (1.3 to 3.4). Patients completed three questionnaires: Oxford Hip Score (OHS), Research and Development 36-item health survey (RAND-36) and a noise-specific symptom questionnaire. Plain radiographs were also analysed. A total of three hips (0.9%) were revised. Results There were 52 patients (54 hips, 17%) who reported noise, and in 25 (48%) of them the noise was frequently heard. In the multiple regression analysis, the only independent risk factor for noise was a specific THA brand, with a threefold increased risk (95% confidence intervals 1.39 to 6.45, p = 0.005) of noise compared with the reference THA brand. Patients with noisy hips had lower median OHS (43 versus 46.5, p = 0.002) and their physical functioning (p = 0.021) subscale in RAND-36 was reduced. Conclusion Noise was surprisingly common in this population. Cite this article: Bone Joint J 2017;99-B:44–50.
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