Shimmin Andrew J, Baré Jon V
Melbourne Orthopaedic Group, Windsor, Victoria, Australia.
Orthop Clin North Am. 2011 Apr;42(2):143-51, vii. doi: 10.1016/j.ocl.2010.12.007.
Total hip arthroplasty (THA) results in good outcomes in function and risk for revision in older patients. However, in young, active patients, it results in an increased rate of revision and poorer outcomes. Modern metal-on-metal hip resurfacing arthroplasty (HRA) is described as an appropriate treatment of hip osteoarthritis in young, active patients. The selection of an appropriate prosthesis is critical for this patient demographic. This review compares the functional results of THA and HRA and focuses on range of motion, activity level, groin pain, patient satisfaction, restoration of normal hip anatomy, and gait.
全髋关节置换术（THA）在老年患者中功能良好且翻修风险较低。然而，对于年轻、活跃的患者，全髋关节置换术会导致翻修率增加且预后较差。现代金属对金属髋关节表面置换术（HRA）被认为是年轻、活跃患者髋骨关节炎的一种合适治疗方法。对于这类患者群体，选择合适的假体至关重要。本综述比较了全髋关节置换术和髋关节表面置换术的功能结果，并着重关注活动范围、活动水平、腹股沟疼痛、患者满意度、正常髋关节解剖结构的恢复以及步态。
