Boynton E, Waddell J P, Morton J, Gardiner G W
Division of Orthopedics, St. Michael's Hospital, University of Toronto, Ont.
Can J Surg. 1991 Dec;34(6):599-605.
Radiologic and routine histologic examinations, transmission electron microscopy and scanning electron microscopy were carried out on membranes retrieved from the following hip implant prostheses: loose cemented metal-on-polyethylene, resorptive cysts around fixed cemented metal-on-polyethylene, cemented without polyethylene (Thompson), noncemented without polyethylene (Moore), loose ceramic-on-ceramic and loose noncemented metal-on-polyethylene. From histologic analysis the most common factor in the membranes reviewed, in terms of production of multinucleated giant cells, is the presence of polyethylene wear debris. Neither loosening of the implant nor the presence or absence of bone cement produces such cells within the membrane.
对从以下髋关节植入假体取出的膜进行了放射学和常规组织学检查、透射电子显微镜检查和扫描电子显微镜检查：松动的骨水泥固定金属对聚乙烯假体、固定骨水泥金属对聚乙烯假体周围的吸收性囊肿、无聚乙烯的骨水泥固定假体（汤普森假体）、无聚乙烯的非骨水泥固定假体（摩尔假体）、松动的陶瓷对陶瓷假体和松动的非骨水泥固定金属对聚乙烯假体。从组织学分析来看，在所检查的膜中，就多核巨细胞的产生而言，最常见的因素是聚乙烯磨损颗粒的存在。植入物的松动以及骨水泥的有无均不会在膜内产生此类细胞。
