Sporer Scott M, Paprosky Wayne G
Orthopaedic Surgery, Rush Medical College, 1725 West Harriston Street, Suite 1063, Chicago, IL 60612, USA.
Orthop Clin North Am. 2005 Jan;36(1):105-11, vii. doi: 10.1016/j.ocl.2004.06.007.
Total hip arthroplasty has provided thousands of patients with pain relief and has improved their quality of life. Advances in orthopaedic surgical techniques and implant biomaterials now allow predictable surgical results in most patients. Despite the overwhelming success of this surgical procedure, the debate continues surrounding the optimal choice of implants. Femoral and acetabular implants with varying geometries and fixation methods are currently available. Acrylic bone cement has been used extensively in the past for acetabular and femoral fixation. This mode of component fixation currently remains the technique used most frequently throughout Europe and has shown excellent long-term results. Problems inherent with acrylic bone cement, however, have encouraged other surgeons to use alternative surfaces to allow biologic fixation.
全髋关节置换术已为数千名患者缓解了疼痛，提高了他们的生活质量。骨科手术技术和植入生物材料的进步如今使大多数患者都能获得可预测的手术效果。尽管该手术取得了巨大成功，但围绕植入物的最佳选择的争论仍在继续。目前有各种几何形状和固定方法的股骨和髋臼植入物可供选择。过去，丙烯酸骨水泥已广泛用于髋臼和股骨固定。目前，这种部件固定方式在整个欧洲仍是最常用的技术，并已显示出优异的长期效果。然而，丙烯酸骨水泥固有的问题促使其他外科医生使用替代表面以实现生物固定。
