Colo Ena, Rijnen Wim H C, Schreurs Berend Willem
Department of Orthopaedics, Radboud University Medical Centre, Nijmegen - The Netherlands.
Hip Int. 2015 Jul-Aug;25(4):361-7. doi: 10.5301/hipint.5000267. Epub 2015 May 20.
Acetabular impaction bone grafting (IBG) in combination with a cemented cup in revision total hip arthroplasty (THA) is a proven and well-recognised technique which has been used in clinical practice for more than 35 years. Nowadays, with cemented prostheses tending to lose a larger part of the THA market every year in primary and revision cases, and many young surgeons being only trained in implanting uncemented prostheses, this technique is considered by many as technically demanding and time consuming, making its use less appealing. Despite this image and many new innovative techniques using uncemented implants in acetabular revisions over the last 25 years, IBG with a cemented cup is still one of the few techniques that really can reconstitute bone and respects human biology. In this era of many biologically-based breakthroughs in medicine, it is hard to explain that the solution of most orthopaedic surgeons for the extensive bone defects as frequently seen during acetabular revision surgery, consists of implanting bigger and larger metal implants. This review aims to put the IBG method into a historical perspective, to describe the surgical technique and present the clinical results.
在翻修全髋关节置换术（THA）中，髋臼打压植骨（IBG）联合骨水泥杯是一种经过验证且广为人知的技术，已在临床实践中应用超过35年。如今，随着骨水泥假体在初次和翻修病例中每年在THA市场所占份额逐渐减少，且许多年轻外科医生仅接受过非骨水泥假体植入培训，这项技术被许多人认为技术要求高且耗时，其应用吸引力降低。尽管有这种看法，并且在过去25年中髋臼翻修有许多使用非骨水泥植入物的新创新技术，但带骨水泥杯的IBG仍然是少数真正能够重建骨并尊重人体生物学的技术之一。在医学领域基于生物学取得诸多突破的这个时代，很难解释大多数骨科医生对于髋臼翻修手术中常见的广泛骨缺损的解决办法是植入越来越大的金属植入物。本综述旨在从历史角度阐述IBG方法，描述手术技术并呈现临床结果。
