Fröschen Frank Sebastian, Wirtz Dieter Christian, Schildberg Frank Alexander
Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.
Orthopadie (Heidelb). 2023 Mar;52(3):178-185. doi: 10.1007/s00132-023-04347-9. Epub 2023 Feb 7.
Surgical treatment of patients with osteoarthritis of the hip and persisting symptoms under conservative therapy has become increasingly important against the background of an aging population.
What are the physiological reactions in the interface between cementless implants and bone?
The literature is reviewed, expert opinions and animal models are analyzed and discussed.
Surface coating of implants with hydroxyapatite or titanium can have positive effects on osteointegration. Additional local application of mediators might be beneficial for osteointegration in the future.
Early peri-implant bone healing directly after implantation and late remodeling of the bone-implant interface are essential for secondary implant stability.
在人口老龄化的背景下，对于髋关节骨关节炎患者且在保守治疗下仍存在持续症状的手术治疗变得越来越重要。
非骨水泥型植入物与骨之间的界面会发生哪些生理反应？
回顾文献，分析并讨论专家意见和动物模型。
用羟基磷灰石或钛对植入物进行表面涂层可对骨整合产生积极影响。未来额外局部应用介质可能有利于骨整合。
植入后早期种植体周围骨愈合以及骨 - 种植体界面的后期重塑对于种植体的二次稳定性至关重要。
