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[绵羊聚乙烯髋臼中旋入式假体的实验测试结果]

[Results of experimental testing of a screw-in in polyethylene acetabulum in sheep].

作者信息

Endler M, Plenk J, Grundschober G, Girtler D, Schnabl H

出版信息

Z Orthop Ihre Grenzgeb. 1983 Jan-Feb;121(1):64-73. doi: 10.1055/s-2008-1051316.

Abstract

In 12 sheep 21 total hip endoprosthesis were implanted, using a polyethylene acetabulum, which was provided with a continuous conique thread for implantation without cement. Out of 14 non luxated hips only 2 acetabula were loosened. After an implantation between 1 week and 18 months the remaining 12 sockets were macroscopically stable and were examined radiologically and histologically. After 3 months of increased osteogenesis a layer of collagenous tissue developed between implant and bone. In the loadbearing area this layer is from 50-80 microns thick and often the ridges of the thread are stabilised by a thin layer of fiber-cartilage, expanding around the implant with longer implantation. Bore-holes in the thread are filled with partially lamellous bone after 6 months. Though sometimes a considerable amount of polyethylene wear particles caused by the disadvantageous and small shape of the sheeparthroplasty was observed, none of the examined acetabula showed any signs of loosening.

摘要

在12只绵羊体内植入了21个全髋关节假体,使用的是带有连续锥形螺纹以便于无骨水泥植入的聚乙烯髋臼。在14个未脱位的髋关节中,只有2个髋臼出现松动。在植入1周和18个月后,其余12个髋臼在宏观上是稳定的,并进行了放射学和组织学检查。在成骨增加3个月后,植入物与骨之间形成了一层胶原组织。在承重区域,这层组织厚度为50 - 80微米,随着植入时间延长,螺纹脊常常会被一层纤维软骨薄层稳定,该纤维软骨围绕植入物扩展。6个月后,螺纹中的钻孔被部分板层骨填充。尽管有时会观察到由于绵羊关节置换术不利的小形状导致大量聚乙烯磨损颗粒,但所检查的髋臼均未显示任何松动迹象。

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