Malviya Ajay, Abdul Nicole, Khanduja Vikas
Department of Trauma and Orthopaedics, Northumbria Healthcare NHS Foundation Trust, Wansbeck General Hospital, Ashington, NE63 9JJ, UK.
Specialist Trainee Year 4 in Trauma and Orthopaedics, Northern Deanery, Wansbeck General Hospital, Ashington, NE63 9JJ, UK.
Indian J Orthop. 2017 Jul-Aug;51(4):405-413. doi: 10.4103/ortho.IJOrtho_177_17.
While total hip arthroplasty remains one of the most reliable procedures with excellent, cost-effective outcomes, there remains controversy in the choice of implant in terms of method of fixation, bearing surface, and size of the femoral head, especially in the younger population. This review looks at the possible information base that surgeons can explore before choosing the implant that they are comfortable with. It also looks at the findings of various registries, which readers can use in the process of informed consent. We have provided certain recommendations with specific reference to the method of fixation, bearing surface, and head size that can be backed by the available registry data. However, the information provided should be used only after considering local, financial, and patient-specific issues that surgeons encounter on a daily basis during their practice.
虽然全髋关节置换术仍然是最可靠的手术之一，具有出色且性价比高的效果，但在植入物的选择上，在固定方法、关节面和股骨头尺寸方面仍存在争议，尤其是在年轻人群中。本综述探讨了外科医生在选择自己熟悉的植入物之前可以探索的可能信息来源。它还审视了各种登记处的研究结果，读者可在知情同意过程中加以利用。我们针对固定方法、关节面和股骨头尺寸提供了某些建议，这些建议有现有登记处数据作为支撑。然而，所提供的信息仅应在考虑外科医生在日常临床实践中遇到的当地、财务和患者特定问题之后使用。
