Dattani R
St Helier Hospital, Wrythe Lane, Carshalton, Survey SM5 1AA, UK. rdattani@.doctors.org.uk
Postgrad Med J. 2007 May;83(979):312-6. doi: 10.1136/pgmj.2006.053215.
Total hip replacement represents the most significant advance in orthopaedic surgery in the 20th century. Periprosthetic osteolysis remains the most significant long-term complication with total hip replacement. It has been reported with all materials and prosthetic devices in use or that have been used to date. This paper reviews the current thinking on the aetiology, pathogenesis, management and future treatment options for osteolysis.
全髋关节置换术是20世纪骨外科领域最重要的进展。假体周围骨溶解仍然是全髋关节置换术最严重的长期并发症。目前使用的或迄今为止已使用过的所有材料和假体装置都有该并发症的报道。本文综述了目前关于骨溶解的病因、发病机制、治疗及未来治疗选择的相关观点。