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使用短柄股骨假体进行全非骨水泥型髋关节置换术的理论与实践方面

Theoretical and practical aspects in total uncemented hip arthroplasty by using short femoral stem prosthesis.

作者信息

Moga M, Pogarasteanu M E, Barbilian A

出版信息

J Med Life. 2015 Jan-Mar;8(1):68-72.

Abstract

Hip arthrosis, primary or secondary, is an osteoarthritic degenerative process that affects the hip joint. Primary hip arthrosis has an unknown etiology, and secondary hip arthrosis has well defined causes; of these causes, some are known to lead to arthrosis of the hip in the young age patient. The surgical treatment aims either to preserve the patient’s hip joint, or to replace the joint. The most commonly used procedure at this time is the total hip arthroplasty. The femoral component may have a short or a long stem. The short femoral stem prosthesis is usually impacted by using a unique technique and unique instruments, according to the manufacturer’s specifications. There are several models of short stem femoral prosthesis, but no matter which one is chosen, the surgical indication, the surgical technique and a well-conducted recovery program are important. The choosing of each arthroplastic implant must be made with care, taking into consideration the patient’s benefit, his expectations, and also the surgeon’s experience.

摘要

原发性或继发性髋关节骨关节炎是一种影响髋关节的骨关节炎性退行性病变。原发性髋关节骨关节炎病因不明,继发性髋关节骨关节炎病因明确;在这些病因中,有些已知会导致年轻患者发生髋关节骨关节炎。手术治疗的目的要么是保留患者的髋关节,要么是置换关节。目前最常用的手术是全髋关节置换术。股骨假体柄可长可短。短柄股骨假体通常根据制造商的规格,采用独特的技术和器械进行打压固定。有几种短柄股骨假体型号,但无论选择哪种,手术适应症、手术技术以及精心安排的康复计划都很重要。每种关节置换植入物的选择都必须谨慎,要考虑患者的受益情况、期望以及外科医生的经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c37/4397524/faf5921a0215/JMedLife-08-68-g001.jpg

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