Postoperative infection and the possibility of a stable, long-term cement-bone interface have been chosen as the two most important aspects of the future of total hip replacement. An attempt has been made to rekindle enthusiasm for extreme sterility in the operating room environment and to combine this with antibiotic prophylaxis. Examples of perfect cement-bone interfaces, judged on radiologic data after 12 1/2 years, are presented, together with radiographs of four examples of acrylic cement in the femur after 20 and 21 years of load bearing.
术后感染以及实现稳定、长期的骨水泥-骨界面的可能性,已被视为全髋关节置换未来发展的两个最重要方面。人们试图重新唤起对手术室环境极端无菌的热情,并将其与抗生素预防相结合。文中展示了根据12年半后的放射学数据判断的完美骨水泥-骨界面的实例,以及在负重20年和21年后股骨中丙烯酸骨水泥的四个实例的X线片。