人工全髋关节置换术中髋臼假体外展角大小对髋关节假体使用寿命的影响

doi:10.3969/j.issn.1671-7171.2021.04.028

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Abstract 【Objective】 To investigate the influence of abduction angle of acetabular prosthesis on hip joint life in total hip arthroplasty (THA). 【Methods】 A total of 347 patients with unilateral THA in our hospital from January 2010 to September 2015 were selected as the research objects. The patients were divided into group A (abduction angle ≥55°) and group B (abduction angle ＜55°) with abduction angle of 55 °as cut-off value. The clinical characteristics of the two groups were observed. The confounding factors were removed by multivariate logistic analysis. The independent correlation between abduction angle and hip joint life span was observed. 【Results】 There were no significant differences in gender, type of hip disease, preoperative activity ability, ASA grade, operation time, replacement site, surgical approach, prosthesis type and postoperative complications in patients with abduction angle ≥55° and <55° respectively (P>0.05), and there were significant differences in age, abduction angle, body mass index and prosthesis survival time between the two groups (P<0.05). Multivariate analysis showed that abduction angle ≥55 ° was a risk factor for hip joint survival. The other influencing factors included age ≥70 years old and body mass index ≥28 kg/m². 【Conclusion】 The acetabular abduction angle is a risk factor that affects the life of hip prosthesis in THA patients. Clinical methods such as 3D printing assistance and guide positioning can be assisted to improve the positioning accuracy of the acetabular prosthesis, thereby prolonging the patient's hip prosthesis service life.

Key words： Arthroplasty, Replacement, Hip Hip Prosthesis/IS Life Expectancy

Received: 02 March 2021

PACS:

R684.75

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.04.028 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I4/576

[1] PENG W, BI N, ZHENG J, et al. Does total hip arthroplasty provide better outcomes than hemiarthroplasty for the femoral neck fracture? A systematic review and meta-analysis[J].Chin J Traumatol,2020, 23(6):356-362.
[2] CSANÁDY-LEITNER R. Patients with hip fracture and total hip arthroplasty surgery differ in anthropometric, but not cardiovascular screening abnormalities[J].BMC Cardiovasc Disord,2020, 20(1):507.
[3] KOCAOGLU H.The effect of traction force and hip abduction angle on pudendal nerve compression in hip arthroscopy: a cadaveric model[J].Arthroscopy,2015, 31(10):1974-1980.
[4] TRIPURANENI K R, MUNSON N R, ARCHIBECK M J, et al. Acetabular abduction and dislocations in direct anterior vs posterior total hip arthroplasty: a retrospective, matched cohort study[J].J Arthroplasty,2016, 31(10):2299-2302.
[5] YOON J Y, PARK C W, PARK Y S, et al. Total hip arthroplasty for secondary coxarthrosis in patients with hereditary multiple exostoses: minimum 5-year follow-up results and surgical considerations[J].Clin Orthop Surg,2020, 12(4):435-441.
[6] KORDUBA L A, ESSNER A, PIVEC R, et al. Effect of acetabular cup abduction angle on wear of ultrahigh-molecular-weight polyethylene in hip simulator testing[J].Am J Orthop (Belle Mead NJ),2014, 43(10):466-471.
[7] QIU J, KE X, CHEN S,et al. Risk factors for iliopsoas impingement after total hip arthroplasty using a collared femoral prosthesis[J].J Orthop Surg Res,2020, 15(1):267.
[8] 朱东明, 张振, 张杰, 等. 全髋关节置换后假体脱位危险因素的最新进展[J].中国组织工程研究, 2020,24(36): 5864-5870.
[9] BEST M J, AMIN R M, NGUYEN S, et al. Incidence and risk factors for perioperative death after revision total hip arthroplasty: a 20-year analysis[J].Hip Int,2020,6:1120700020921354.
[10] BELL J A, JEONG A, BOHL D D, et al. Does peritrochanteric fat thickness increase the risk of early reoperation for infection or wound complications following total hip arthroplasty?[J].J Orthop,2019, 16(5):359-362.
[11] SAHARA W, YAMAZAKI T, KONDA S, et al. Influence of humeral abduction angle on axial rotation and contact area at the glenohumeral joint[J].J Shoulder Elbow Surg,2019, 28(3):570-577.
[12] GOODMAN G P, GOYAL N, PARKS N L,et al. Intraoperative fluoroscopy with a direct anterior approach reduces variation in acetabular cup abduction angle[J].Hip Int,2017, 27(6):573-577.
[13] ALI KHAN M A, BRAKENBURY P H, REYNOLDS I S. Dislocation following total hip replacement[J].J Bone Joint Surg Br,1981, 63-B(2):214-218.
[14] 郭予立,胡奕山,刁喜财, 等.结构性植骨治疗全髋关节置换术中髋臼骨缺损的疗效观察[J].医学临床研究,2020,37(4):532-535.

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(6): 932-934.