摘要
背景:目前全髋关节置换已经成为最成功、技术最成熟的外科手术之一,尽管材料选择已取得巨大进步,但诸如界面磨损、骨溶解及假体松动等现象严重影响其远期疗效。目的:分析第4代全陶瓷全髋关节置换后陶瓷部件碎裂的相关因素。方法:收集病例资料,通过检索中国知网CNKI、PubMed数据库及Web of science数据库,综述第4代全陶瓷全髋关节置换后陶瓷部件碎裂的相关因素。结果与结论:(1)虽然第4代全陶瓷全髋关节假体具有较高的硬度及耐磨性,但仍存在碎裂的可能,其发生的原因与体质因素、机械因素、假体的选择和匹配、手术相关因素等密切相关;(2)提示行该类手术之前应与患者解释清楚,并告知其有碎裂的风险,在保证陶瓷部件恰当置入的前提下,尤其对于年轻、活跃的患者,陶瓷界面关节可以提供较好的结果。
BACKGROUND:Total hip arthroplasty has become a most successful and mature surgical procedure,despite tremendous advances in material selection,phenomena such as interfacial wear,osteolysis,and prosthesis loosening severely affect long-term efficacy.OBJECTIVE:To analyze the factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty.METHODS:Case data were collected.The literature concerning the factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty were reviewed by searching the CNKI,PubMed and Web of science databases.RESULTS AND CONCLUSION:(1)Although the fourth-generation ceramic-on-ceramic total hip prosthesis possesses high hardness and wear resistance,the possibility of fragmentation still exits.The causes and physical factors,mechanical factors,prosthesis selection and matching,surgery relevant factors are closely related.(2)Therefore,before performing this type of surgery,we should explain clearly to the patient and inform the risk of fragmentation.The ceramic interface joints can provide good results when ensuring proper implantation of ceramic components,especially for young and active patients.
作者
周驰
何伟
刘予豪
郭海
唐宏宇
张罡瑜
王海彬
Zhou Chi;He Wei;Liu Yuhao;Guo Hai;Tang Hongyu;Zhang Gangyu;Wang Haibin(Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong Province,China;Department of Bone and Joint Surgery,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong Province,China))
出处
《中国组织工程研究》
CAS
北大核心
2018年第35期5577-5582,共6页
Chinese Journal of Tissue Engineering Research
基金
国家自然科学基金课题(81173284)
国家自然科学基金课题(81373655)
广东省自然科学基金项目(2015A030310203)
青年科研人才培优项目(2015QN01)
广州中医药大学高水平大学建设面上项目(A1-AFD018171Z11057)~~
