Charles Mark N, Bourne Robert B, Davey J Roderick, Greenwald A Seth, Morrey Bernard F, Rorabeck Cecil H
Department of Orthopaedic Surgery, London Health Sciences Centre, University Campus, London, Ontario, Canada.
Instr Course Lect. 2005;54:131-41.
Inadequate soft-tissue balancing is a major yet often underemphasized cause of failure for primary and revision total hip arthroplasty. Accordingly, contemporary cemented and cementless hip prostheses have been designed with consideration of this issue, and this has substantially increased the long-term survival of total hip replacements. Therefore, it is important for orthopaedic surgeons to be familiar with the rationale, biomechanical principles, and clinical implications associated with soft-tissue balancing of the hip as well as strategies to avoid inadequate soft-tissue balancing and systematic techniques to restore adequate soft-tissue tensioning during total hip arthroplasty.
软组织平衡不充分是初次和翻修全髋关节置换术失败的一个主要原因，但常常未得到充分重视。因此，现代骨水泥型和非骨水泥型髋关节假体在设计时都考虑到了这个问题，这大大提高了全髋关节置换术的长期生存率。所以，骨科医生熟悉与髋关节软组织平衡相关的原理、生物力学原则和临床意义，以及在全髋关节置换术中避免软组织平衡不充分的策略和恢复充分软组织张力的系统技术非常重要。
