Nowakowski Andrej Maria
Klinik für Orthopädie und Traumatologie des Bewegungsapparates, Kantonsspital Baselland, Bruderholz / Liestal / Laufen.
Ther Umsch. 2020;77(10):499-503. doi: 10.1024/0040-5930/a001228.
Developments in hip arthroplasty The principles of the hip arthroplasty, as we know them today, were established about 60 years ago by Sir John Charnley. Replacement of the hip joint became one of the most successful and safest therapeutic procedures. Hip arthroplasty has been shown to yield good long-term results without complications. Over the last 20 years, the development and establishment of minimally invasive operation techniques has contributed to rapid changes. Additionally, perioperative patient management was optimized. Improvements in the material and tribology of the implants led to promising developments. Nonetheless, analysis of possible complications, shows potential for further developments, for example in cup geometry. Enhanced training concepts for surgeons, operation simulators, simple navigation aids for component positioning can surely achieve improvements in surgical safety.
髋关节置换术的发展 我们如今所熟知的髋关节置换术原则是约60年前由约翰·查恩利爵士确立的。髋关节置换成为最成功、最安全的治疗手段之一。髋关节置换术已被证明能产生良好的长期效果且无并发症。在过去20年里，微创操作技术的发展与确立带来了快速变革。此外，围手术期患者管理得到了优化。植入物材料和摩擦学方面的改进带来了有前景的发展。尽管如此，对可能并发症的分析显示仍有进一步发展的潜力，例如髋臼杯几何形状方面。为外科医生提供强化培训理念、手术模拟器以及用于部件定位的简单导航辅助工具肯定能提高手术安全性。
