Long Term Function After Charnley Total Hip Arthroplasty全髋关节置换术后的长期功能.pdfVIP

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 417, pp. 148–156 B 2003 Lippincott Williams Wilkins, Inc. Long-Term Function After Charnley Total Hip Arthroplasty Jay D. Keener, MD; John J. Callaghan, MD; Devon D. Goetz, MD; Douglas Pederson, PhD; Patrick Sullivan, MD; and Richard C. Johnston, MD The purpose of this study was to report the func- jects. The 6-minute walk distances and WOMAC tional results and mortality rates of a consecu- scores were slightly lower than healthy normatives tive series of patients younger than 50 years after but were thought to be influenced by medical co- Charnley total hip arthroplasty. The original group morbidities. Although comorbid medical and mus- of 69 patients (93 hips) was followed up until death culoskeletal conditions significantly hindered most or a minimum of 25 years after surgery. Of the measures of function, revision surgery or radio- original 93 hips, 29 had been revised at some point. graphic loosening of components had no significant Functional outcomes included the Short Form- influence on function. The mortality rates of this 36, Western Ontario and McMaster Universities cohort of patients were similar to normative values Osteoarthritis Index (WOMAC), 6-minute walk at 10 and 25 years after surgery. distance, Noyes activity scale, and Harris hip scores and included followup in 42 of 43 living patients. The functional outcome of patients was good, with comparable Short Form-36 scores compared Total hip arthroplasty in the young, activ