2017
DOI: 10.6016/zdravvestn.2156
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Inovacijska past: izmenljivi vrat totalne kolčne endoproteze

Abstract: IzvlečekIzhodišča: Inovacije so ključnega pomena za uspešnost ortopedske kirurgije. Žal lahko včasih že majhne spremembe v sicer ustaljenih kirurških postopkih in preizkušenih oblikah vsadkov vodijo v katastrofo. Zdi se, da nas razsežnost zlomov izmenljivih vratov (24 od okoli 4.000 vgrajenih) pri popolnoma modularni artroplastiki kolka, priljubljeni v naši deželi v zadnjih 20 letih, preizkuša v takšnih nesrečnih posledicah. Namen prispevka je analizirati obseg in vzroke problema ter predlagati možne rešitve.M… Show more

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Cited by 4 publications
(2 citation statements)
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“…Although modular systems dual therapy was initially touted as offering some advantages, the evidence supporting these benefits still needs to be discovered [ 34 ]. Similarly, another example of an innovation trap mentioned in the literature is the Profemur Z fully-modular femoral stem [ 35 ]. Although short-stem implants have shown promising results in clinical practice, further studies with larger sample sizes, more diverse pathologies (not simply aseptic necrosis of the femoral head), and randomized controlled clinical trials are still needed to evaluate possible patient complications and conduct further subgroup analyzes to find patient groups that truly benefit from this surgical method.…”
Section: Discussionmentioning
confidence: 99%
“…Although modular systems dual therapy was initially touted as offering some advantages, the evidence supporting these benefits still needs to be discovered [ 34 ]. Similarly, another example of an innovation trap mentioned in the literature is the Profemur Z fully-modular femoral stem [ 35 ]. Although short-stem implants have shown promising results in clinical practice, further studies with larger sample sizes, more diverse pathologies (not simply aseptic necrosis of the femoral head), and randomized controlled clinical trials are still needed to evaluate possible patient complications and conduct further subgroup analyzes to find patient groups that truly benefit from this surgical method.…”
Section: Discussionmentioning
confidence: 99%
“…In the present study, we have also included data from a community hospital and a tertiary academic centre to avoid limiting the generalization of the results. Namely, in the previous studies only data from major orthopaedic centres were included and no comparable SM stem THA system was analysed [ 17 , 22 ]. While in both mentioned studies the incidence of modular neck fractures was about 1%, in the present study the incidence was less than 0.3% (1/353 hips with DM stems).…”
Section: Discussionmentioning
confidence: 99%