Göbel F, Ulbricht S, Hein W, Bernstein A
Zentrum für Erkrankungen und Verletzungen der Haltungs- und Bewegungsorgane, Martin-Luther-Universität Halle-Wittenberg, Halle.
Z Orthop Unfall. 2008 Mar-Apr;146(2):194-9. doi: 10.1055/s-2007-989293.
The present work aimed at evaluating the radiological mid-term results of femoral components of different materials in an identically designed total knee system.
31 knees with zirconium femoral components and 32 standard femoral components were evaluated about 4 years following surgery using the Roentgenographic Evaluation and Scoring System of the Knee Society.
In both groups, the implant position was correct. There was a statistically significant higher rate of radiolucent lines in zones 1 and 4 at the tibia site in the zirconium group.
Our clinical results disagree with the results of biomechanical studies of the same type of prosthesis. However, there are some findings from animal studies showing that zirconium ions may inhibit the mineralisation of osteoid, which could be an explanation for the higher rate of radiolucent lines seen in the present study.
本研究旨在评估相同设计的全膝关节系统中不同材料股骨部件的放射学中期结果。
使用膝关节协会的X线评估和评分系统,对31例采用锆合金股骨部件的膝关节和32例采用标准股骨部件的膝关节在术后约4年进行评估。
两组中,植入物位置均正确。锆合金组胫骨部位1区和4区的透亮线发生率在统计学上显著更高。
我们的临床结果与同类假体的生物力学研究结果不一致。然而,动物研究有一些发现表明锆离子可能抑制类骨质矿化,这可能是本研究中观察到较高透亮线发生率的一个解释。