Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, UK.
Bone Joint J. 2013 Aug;95-B(8):1011-21. doi: 10.1302/0301-620X.95B8.31525.
Following the recall of modular neck hip stems in July 2012, research into femoral modularity will intensify over the next few years. This review aims to provide surgeons with an up-to-date summary of the clinically relevant evidence. The development of femoral modularity, and a classification system, is described. The theoretical rationale for modularity is summarised and the clinical outcomes are explored. The review also examines the clinically relevant problems reported following the use of femoral stems with a modular neck. Joint replacement registries in the United Kingdom and Australia have provided data on the failure rates of modular devices but cannot identify the mechanism of failure. This information is needed to determine whether modular neck femoral stems will be used in the future, and how we should monitor patients who already have them implanted.
2012 年 7 月召回模块化颈部髋关节柄后，未来几年对股骨模块化的研究将加剧。本综述旨在为外科医生提供最新的临床相关证据总结。描述了股骨模块化及其分类系统的发展。总结了模块化的理论基础，并探讨了临床结果。该综述还检查了使用带模块化颈部的股骨柄后报告的临床相关问题。英国和澳大利亚的关节置换登记处提供了有关模块化器械失效率的数据，但无法确定失效机制。需要这些信息来确定未来是否将使用模块化颈部股骨柄，以及我们应该如何监测已经植入的患者。
