Spencer Robert F
Orthopaedic Department, Weston General Hospital; Avon Orthopaedic Centre, Southmead Hospital, Bristol - UK.
Hip Int. 2014 Oct 2;24 Suppl 10:S15-8. doi: 10.5301/hipint.5000165.
Attempts to resurface the hip joint date back to the 1930s. Throughout the last century many designs failed due to defective materials or fixation (or a combination). The metal-on-metal designs pioneered at the end of the century appeared to herald a new era, until difficulties associated with adverse reactions to metal debris were identified. Ultimately, a much narrower range of indications emerged - large, young males appear to be the ideal recipients. Implant design features and component orientation are crucial to the survivorship of these implants.
髋关节表面置换的尝试可追溯到20世纪30年代。在上个世纪，许多设计因材料缺陷或固定问题（或两者皆有）而失败。世纪末开创的金属对金属设计似乎预示着一个新时代的到来，直到发现与金属碎屑不良反应相关的问题。最终，适用指征的范围变得窄得多——年轻的成年男性似乎是理想的接受者。植入物的设计特点和部件方向对这些植入物的存活至关重要。
