Li Zhijun
College for Preschool Education, GuangXi, NanNing, China.
J Orthop. 2024 Oct 4;62:27-35. doi: 10.1016/j.jor.2024.09.021. eCollection 2025 Apr.
The increasing prevalence of hip joint diseases is closely linked to improved living standards and an aging population, leading to a rise in conditions like degenerative arthritis and severe hip injuries. These conditions cause significant pain and functional impairments, greatly reducing the quality of life for affected individuals. Total hip arthroplasty (THA) has become a well-established surgical intervention to address these debilitating conditions. Within the realm of hip replacement materials, ceramics have garnered attention for their exceptional wear resistance and ability to minimize complications, such as bone dissolution caused by wear particles. Ceramics, such as alumina and zirconia, offer biocompatibility and low wear rates, making them favourable choices for hip prostheses. However, despite these advantages, the use of ceramics in hip replacements is not without challenges. Issues such as ceramic fragmentation and abnormal joint noise have been noted, posing significant obstacles to their widespread adoption. This review explores the advancements in hip replacement technology with a particular focus on ceramic materials. It delves into the properties that make ceramics suitable for this application, such as their biocompatibility and mechanical strength, enhanced through advanced manufacturing techniques. Additionally, the review addresses the ongoing challenges, including strategies to mitigate the risk of fragmentation through material toughening and improved prosthesis design. Furthermore, it examines the phenomenon of abnormal joint noise, proposing solutions that involve refinements in implant design, surgical techniques, and post-operative patient management. The aim of this review is to provide a comprehensive overview of current advancements and future directions in the use of ceramic materials in hip replacement technology, highlighting the potential for improved patient outcomes and the need for continued research and innovation in this field.
髋关节疾病患病率的上升与生活水平提高和人口老龄化密切相关,导致退行性关节炎和严重髋关节损伤等病症增多。这些病症会引起剧痛和功能障碍,极大降低患者的生活质量。全髋关节置换术(THA)已成为治疗这些使人衰弱病症的成熟手术干预方法。在髋关节置换材料领域,陶瓷因其出色的耐磨性以及将磨损颗粒导致的骨溶解等并发症降至最低的能力而受到关注。氧化铝和氧化锆等陶瓷具有生物相容性且磨损率低,使其成为髋关节假体的理想选择。然而,尽管有这些优点,陶瓷在髋关节置换中的应用并非没有挑战。陶瓷碎裂和关节异常响声等问题已被注意到,对其广泛应用构成重大障碍。本综述探讨髋关节置换技术的进展,特别关注陶瓷材料。它深入研究使陶瓷适用于此应用的特性,如通过先进制造技术增强的生物相容性和机械强度。此外,该综述还讨论了持续存在的挑战,包括通过材料增韧和改进假体设计来降低碎裂风险的策略