Schmalzried Thomas P
Joint Replacement Institute at St Vincent Medical Center, Los Angeles, CA 90057, USA.
Orthop Clin North Am. 2011 Apr;42(2):271-3, ix-x. doi: 10.1016/j.ocl.2010.12.004.
With experience in metal-metal resurfacing, several opportunities to improve resurfacing technology have been identified. There is a need for better education on hip resurfacing in residency training programs. The majority of short-term complications associated with resurfacing are related to surgical technique or component position. Innovations to improve acetabular component position and femoral-acetabular mating are needed. Although the majority of high wear and adverse local tissue reactions (ALTR) can be prevented by proper component positioning, the variable exposure to metal particles and ions associated with metal-metal resurfacing components continues to be a concern and bearing surface technology will evolve.
凭借金属对金属表面置换的经验，已确定了若干改进表面置换技术的机会。住院医师培训项目中需要对髋关节表面置换进行更好的教育。与表面置换相关的大多数短期并发症与手术技术或假体位置有关。需要创新以改善髋臼假体位置和股骨 - 髋臼匹配。尽管通过正确的假体定位可预防大多数高磨损和局部组织不良反应（ALTR），但与金属对金属表面置换部件相关的金属颗粒和离子的可变暴露仍然是一个问题，并且承重表面技术将会不断发展。
