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全髋关节置换术中股骨柄/骨水泥界面

The femoral stem/cement interface in total hip replacement.

作者信息

Fornasier V L, Cameron H U

出版信息

Clin Orthop Relat Res. 1976 May(116):248-52.

PMID:1277648
Abstract

A study of the cement prosthesis interface has been carried out on the femoral component of 5 total hip relacements which had been in place between 7 weeks and 5 years. In every case a thin layer of connective tissue at varying stages of organization was present between the prosthesis and the cement. This suggests that the prosthesis is not rigidly fixed to the cement and is capable of micromovement. The gap presumably comes about by a combination of factors which include thermal expansion of the femoral stem, shrinkage of the cement and organization of the film of blood or tissue fluid present on the stem at the time of implantation. This information must be used when construction mathematical models of joint replacements, but its clinical significance is not yet fully clear.

摘要

对5例全髋关节置换术的股骨部件进行了骨水泥假体界面研究,这些假体已植入7周至5年。在每一个病例中,假体与骨水泥之间均存在一层处于不同组织阶段的结缔组织薄层。这表明假体并未牢固地固定在骨水泥上,能够发生微动。这种间隙可能是由多种因素共同造成的,这些因素包括股骨柄的热膨胀、骨水泥的收缩以及植入时股骨柄上存在的血液或组织液薄膜的组织化。在构建关节置换的数学模型时必须使用这些信息,但其临床意义尚未完全明确。

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The femoral stem/cement interface in total hip replacement.全髋关节置换术中股骨柄/骨水泥界面
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Int J Mol Sci. 2020 Mar 31;21(7):2405. doi: 10.3390/ijms21072405.
2
Using 'subcement' to simulate the long-term fatigue response of cemented femoral stems in a cadaver model: could a novel preclinical screening test have caught the Exeter matt problem?在尸体模型中使用“亚骨水泥”模拟骨水泥型股骨柄的长期疲劳反应:一种新型的临床前筛查测试能否发现埃克塞特哑光问题?
Proc Inst Mech Eng H. 2010;224(4):585-97. doi: 10.1243/09544119JEIM593.
3
Fatigue of bone cement with simulated stem interface porosity.
模拟柄部界面孔隙率下骨水泥的疲劳情况。
J Mater Sci Mater Med. 1998 Dec;9(12):707-9. doi: 10.1023/a:1008942600230.
4
Failure of the stem in total hip replacement. A study of aetiology and mechanism of failure in 13 cases.全髋关节置换中股骨柄的失败。13例失败病因及机制的研究。
Arch Orthop Trauma Surg (1978). 1988;107(4):195-202. doi: 10.1007/BF00449667.