Płomiński Janusz, Kwiatkowski Krzysztof
Pol Merkur Lekarski. 2007 Feb;22(128):83-5.
The authors present the history of hip prosthesis in treatment of coxarthrosis. Despite eighty years of experience the problem of gaining good and long-term results still exist and is difficult to solve. Even changing the way on cementless stabilization of prosthesis doesn't has result in solving the problem of aseptic loosening of hip arthroplasty. Problems of wear derbies made the producers find new to reduce particulate debris. The future of hip arthroplasty is connected with hip resurfacing. Moreover, the higher number of primary hip plasty the more prosthesis are loosening. The treatment is far more difficult and more expensive.
作者介绍了髋关节假体治疗髋关节病的历史。尽管有八十年的经验,但获得良好长期效果的问题仍然存在且难以解决。即使改变假体非骨水泥固定方式也未能解决髋关节置换术无菌性松动的问题。磨损碎屑问题促使生产商寻找新方法来减少颗粒碎屑。髋关节置换术的未来与髋关节表面置换有关。此外,初次髋关节置换术数量越多,假体松动的情况就越多。治疗难度更大且费用更高。