2007年10月德国幻灯中英文对照 25.ppt

Complications并发症 失败 – 必须翻修 Failures – Revision necessary  1999 - 2005 N = 2.400 CFP replacement CFP 假体置换 C.F.P./T.O.P. THR n=156 lost to FU失访 1 Implant revision 假体相关翻修 2 revision翻修 6 dead死亡 4 就无菌型松动而言的假体生存率 Survival rate C.F.P. stem for aseptic loosening C.F.P. 假体柄 99,36% T.O.P. Cup for aseptic loosening T.O.P. 杯 100% Harris-Hip-Score Harris评分 ? 95,7 (57-100) 60 36 2 2 0 20 40 60 80 100 (%) 100 80 - 99 70 - 79 70 0 假体周围骨折Periprosthetic fracture 1 部分股神经麻痹partial femoral nerve palsy 0 Trendelenburg 征 0 伤口深部感染Deep wound infection 0 肺栓塞Pulmonary embolism 5 (~3%) 脱位 dislocation 4 n DVT N = 2,400 1999 – 2005 ENDO-Klinik Hamburg 假体柄Stem 不稳No stability 6 ? ? ? ? ? 骨折 fracture 1 ? 髋臼杯 Cup No stabilty不稳 5 ? ? Recurrent Dislocation 反复脱位 4 ? Stem and cup柄和杯 Infection感染 8 0.33 % ? Total 总计 24 1.0 % 5 fractures treated by conservative methods 5例骨折病人采用保守的方法治疗 Post op. 2/02 11/02 Contraindications 禁忌症 Osteoporosis 骨质疏松 Dysplasia with severe deformity发育不良伴严重畸形 Severe valgus (anteversion)严重外翻(前倾) Severe varus 严重内翻 Conclusion结论 Retention of femoral neck 股骨颈保留 Preservation of metaphyseal cancellous bone 干骺端松质骨保留 Biomechanically optimal anchoring principle符合生物力学的最优固定原则 Prosthetic design adapted to physiological distribution of forces 假体设计符合生理性应力分布 Suitable for MIS 适合MIS Discussion讨论 Under sizing 小型号 over sizing 大型号 leg length 下肢长度 malposition 位置不正 LINK? C.F.P. Hüftprothesensystem LINK? C.F.P. Hüftprothesensystem LINK? C.F.P. Hüftprothesensystem LINK? BetaCup LINK? BetaCup LINK? BetaCup No implant is definitely the last 没有一种假体确定是终结性的 ！ Hauck_1147769_ENDO_002.jpg Hauck_1147769_ENDO_002.jpg * Why use CFP ? 为什么使用CFP ? K?benhavn 24.0kt.2007 G. v. Foerster, TABEA – Klinik Hamburg Bone Structure of Human Hip Joint T he Trabeculae Orientation 人体髋关节的骨质结构 骨小梁的朝向 16 Pipino, F. et al: Biodynamic Total Hip Prosthesis. Italian Journal of Orthopaedics and Tr