Sedel Laurent
Chirurgie orthopédique, Hôpital Lariboisière, 41 bld de la Chapelle, 75 475 Paris.
Bull Acad Natl Med. 2009 Jan;193(1):81-6; discussion 86-9.
Since the pioneering period of the early 1960s, total hip replacement has gained in safety, effectiveness and quality, through advances in anesthesia, pain control and less-invasive surgery. New materials have been developed jointly with engineers. Thirty years ago we started to develop a special friction system with alumina on an alumina couple, which avoids osteolysis due to plastic debris. It has also become possible to implant hip prostheses in young people, permitting normal activity and with the hope of keeping the same prosthesis for many years. The authors also review data on foreign body reactions, biomechanics, and bone remodeling.
自20世纪60年代初的开创性时期以来，通过麻醉、疼痛控制和微创手术的进步，全髋关节置换术在安全性、有效性和质量方面都有所提高。新材料是与工程师联合开发的。30年前，我们开始开发一种特殊的摩擦系统，采用氧化铝对氧化铝的配对，可避免因塑料碎片导致的骨溶解。现在也有可能为年轻人植入髋关节假体，使其能够进行正常活动，并有望使用同一假体多年。作者还回顾了关于异物反应、生物力学和骨重塑的数据。
