Faensen M, Rahmanzadeh R
Abteilung für Unfall- und Wiederherstellungschirurgie, Klinikum Steglitz Freien Universität Berlin.
Z Gesamte Inn Med. 1988 Jul 1;43(13):344-7.
Marked advances have been made in the application of hip joint endoprostheses since their extensive dissemination in the early 70's. Implantation material, surface structure, design of the prosthesis and surgical techniques have been better adapted to the biological and biomechanical conditions. Nevertheless, the long-term prognosis remains uncertain, and joint-saving interventions continue to take priority. The possibilities for the application of endoprostheses in cases of degenerative, posttraumatic and congenital changes and tumourous destructions have been improved by extended prostheses and additional measures. Whereas the indication for a prosthesis to save the mobility of the patient is established more frequently for older patients suffering from basic diseases with a limited life expectancy, osteolysis due to bone tumours or metastases, hip-joint replacement in younger patients should always be performed as a last resort, even if the prognosis is better.
自70年代初髋关节假体广泛应用以来，已取得了显著进展。植入材料、表面结构、假体设计和手术技术已更好地适应生物和生物力学条件。然而，长期预后仍然不确定，保留关节的干预措施仍然优先。通过延长假体和其他措施，已改善了假体在退行性、创伤后和先天性改变以及肿瘤性破坏病例中的应用可能性。虽然对于患有基础疾病、预期寿命有限的老年患者，为挽救患者活动能力而使用假体的指征更为常见，但对于因骨肿瘤或转移瘤导致骨溶解的年轻患者，即使预后较好，髋关节置换也应始终作为最后的手段。
