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查恩利低摩擦关节成形术。过去、现状及未来展望。

Charnley low-friction arthroplasty. Review of the past, present status, and prospects for the future.

作者信息

Wroblewski B M

出版信息

Clin Orthop Relat Res. 1986 Sep(210):37-42.

PMID:3757374
Abstract

The evolution of Charnley low-friction arthroplasty highlights the scientific basis for the operation. Long-term results show that the quality of pain relief remains excellent. The quality of the socket fixation has been improved by the use of new methods and designs, while a new technique of stem fixation has all but eliminated the loosening. Ultimately, wear and creep of the high-density polyethylene socket must be given serious consideration. Low friction remains the sound concept, and trochanteric osteotomy, now incorporating an element of compression in its reattachment, remains the method of choice for the exposure.

摘要

查恩利低摩擦关节成形术的发展突出了该手术的科学依据。长期结果表明,疼痛缓解质量仍然极佳。通过使用新方法和设计,髋臼固定的质量得到了改善,而一种新的股骨柄固定技术几乎消除了松动问题。最终,必须认真考虑高密度聚乙烯髋臼的磨损和蠕变。低摩擦仍然是合理的理念,而现在在重新附着时加入了压缩元素的转子截骨术仍然是暴露的首选方法。

相似文献

1
Charnley low-friction arthroplasty. Review of the past, present status, and prospects for the future.查恩利低摩擦关节成形术。过去、现状及未来展望。
Clin Orthop Relat Res. 1986 Sep(210):37-42.
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[Long-term review of homogeneous and consecutive series of 100 "Charnley"-type total hip prostheses].[对100例“查恩利”型全髋关节假体的同质连续系列进行长期回顾]
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引用本文的文献

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Influence of Femoral Stem Geometry on Total Hip Replacement: A Comparison of Clinical Outcomes of a Straight and an Anatomical Uncemented Stem.股骨柄几何形状对全髋关节置换的影响:直柄与解剖型非骨水泥柄临床结果的比较
J Clin Med. 2024 Oct 28;13(21):6459. doi: 10.3390/jcm13216459.
2
Structural changes in the socket of a Charnley low friction arthroplasty associated with recurrent subluxation.
Int Orthop. 1989;13(4):231-3. doi: 10.1007/BF00268503.
3
Elective total hip replacement: incidence, emergency readmission rate, and postoperative mortality.择期全髋关节置换术:发病率、急诊再入院率及术后死亡率。
BMJ. 1991 Dec 7;303(6815):1431-5. doi: 10.1136/bmj.303.6815.1431.