Wyatt Michael, Hooper Gary, Frampton Christopher, Rothwell Alastair
Michael Wyatt, Gary Hooper, Christopher Frampton, Alastair Rothwell, Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, Canterbury 8011, New Zealand.
World J Orthop. 2014 Nov 18;5(5):591-6. doi: 10.5312/wjo.v5.i5.591.
Total hip replacement (THR) is a successful and reliable operation for both relieving pain and improving function in patients who are disabled with end stage arthritis. The ageing population is predicted to significantly increase the requirement for THR in patients who have a higher functional demand than those of the past. Uncemented THR was introduced to improve the long term results and in particular the results in younger, higher functioning patients. There has been controversy about the value of uncemented compared to cemented THR although there has been a world-wide trend towards uncemented fixation. Uncemented acetabular fixation has gained wide acceptance, as seen in the increasing number of hybrid THR in joint registries, but there remains debate about the best mode of femoral fixation. In this article we review the history and current world-wide registry data, with an in-depth analysis of the New Zealand Joint Registry, to determine the results of uncemented femoral fixation in an attempt to provide an evidence-based answer as to the value of this form of fixation.
全髋关节置换术（THR）对于缓解终末期关节炎患者的疼痛和改善功能而言，是一种成功且可靠的手术。预计老龄化人口将显著增加对THR的需求，这类患者的功能需求比过去的患者更高。非骨水泥型THR被引入以改善长期效果，尤其是在年轻、功能较好的患者中的效果。与骨水泥型THR相比，非骨水泥型THR的价值一直存在争议，尽管全球范围内存在采用非骨水泥固定的趋势。非骨水泥髋臼固定已被广泛接受，这在关节登记处越来越多的混合型THR中可见一斑，但对于股骨固定的最佳方式仍存在争议。在本文中，我们回顾了历史和当前全球登记数据，并对新西兰关节登记处进行了深入分析，以确定非骨水泥股骨固定的结果，试图为这种固定形式的价值提供基于证据的答案。
