Bateman雙極化人工半髖關節置換術之臨床經驗

Clinical Experience of Hemiarthroplasty with Bateman Bipolar Endoprosthesis

方金虹(Chin-Hong Fang) ； 李土生(Tu-Sheng Lee) ； 徐廣志(Kuang-Chih Hsu)

《The Kaohsiung Journal of Medical Sciences》 6卷6期 (1990/06) Pp. 268-275

https://doi.org/10.6452/KJMS.199006.0268

摘要

本院骨科，自民國74年4月至民國75年8月止，共16個月間，以Bateman雙極化人工髖關節為97位病患（共101個髖關節）施行半髖關節置換手術，其中67位病患（共70個髖關節）得到完整的術後追蹤檢查及評估，其追蹤時間至少3年（平均為44個月）。
我們依據手術之適應症，將其分為二類。第一類為股骨頸骨折的病例，第二類為缺血性股骨頭壞死的病例。
在追蹤檢查及評估中發現，第一類病例有76.2%得到滿意的結果，而在第二類病例中亦有85.8%的滿意度。
在術後的X檢查及99 mTc-MDP骨骼掃描檢查中發現，其中12例（17.1%）於骨柄部份有機械鬆動現象，但此12例中只有2例因臨床症狀明顯而需再度手術治療。在全部的70例中只有2例（2.9%）發生髖臼磨損的現象。
依據我們短期的臨床追蹤評估以及回顧文獻上的報告，我們認為甘能夠改進骨柄部份的固定方法，勢必能得到更好的結果。

並列摘要

Between April 1985 and August 1986, 97 patients (101 hips) were treated with Bateman bipolar hemiarthroplasty after diagnosis of femoral neck fracture and ischemic necrosis of the femoral head at Veterans’ General Hospital, Taichung.
Seventy hips were followed up for an average of 44 months (range from 36 to 53 months). 58.6% of the patients had excellent or good results, 21.4% had fair results and 20% poor results. Twelve cases (17.1%) with thigh pain were diagnosed as have loosening of the stem and this was verified by X-ray and 99m Tc-MDP bone scan examination. 2 of these twelve cases received revisional total hip replacement.
Wearing of the acetabulum was noted in only 2 patients (2.9%). From the short-term follow-up study, we would suggest that good results can be obtained with improved cementing technique or a special stem design to fit the different indications.

並列關鍵字

bipolar hemiarthroplasty