Thomas G, Nasseri D
Clin Orthop Relat Res. 1975 Jan-Feb(106):86-93. doi: 10.1097/00003086-197501000-00011.
A new technique which has been developed for the allogeneic hip-joint transplantation to enable minutely accurate processing of donor and recipient femoral head, neck, and hip-joints is dependent upon the manual skill of the surgeon. The donor and recipient parts had to be made congruent by free hand fitting. Even the most experienced surgeon cannot produce perfect form congruity of the whole contact surface between donor and recipient parts. The foregoing article presents new instruments and the techniques for 0.5 mm precision fit. An ideal fit of donor and recipient parts represents an important prerequisite for successful allogeneic joint implantations and accounts for improvement in previous results from such operations. Obviously, the cell-devitalized cold-conserved joints cannot produce optimum or permanent results, but can be implanted as an alternative to arthrosis in patients in vary young age groups. Further research on viable cartilage and bone in joint implantations await new advances in immunology and tissue typing.
一种为同种异体髋关节移植而开发的新技术,能够对供体和受体的股骨头、颈及髋关节进行极其精确的处理,这依赖于外科医生的手工技巧。供体和受体部分必须通过徒手拟合使其相互适配。即使是最有经验的外科医生也无法使供体和受体部分之间的整个接触表面达到完美的形状适配。前文介绍了用于实现0.5毫米精确适配的新器械和技术。供体和受体部分的理想适配是同种异体关节植入成功的重要前提,并且解释了此类手术先前结果的改善。显然,细胞失活的冷藏保存关节无法产生最佳或永久性效果,但可作为不同年龄组患者关节病的替代方案进行植入。关于关节植入中活软骨和骨的进一步研究有待免疫学和组织分型方面的新进展。