Ring P A
J R Soc Med. 1981 Oct;74(10):719-24. doi: 10.1177/014107688107401003.
During the last 20 years almost 3000 uncemented total hip replacements have been used in the treatment of osteoarthritis and rheumatoid arthritis. The development of an axially located prosthesis is outlined, and the causes of failure indicated. Uncemented prostheses have the advantage of a relatively low mortality and morbidity and the rate of infection in particular is low. Interface pain, with or without frank prosthetic loosening, is the commonest cause of failure, but revisional surgery is relatively easy, and usually successful. Loss of function without significant pain may occur after many years from distal migration of the femoral component. The development of an uncemented metal-on-plastic joint has produced better short-term results than the metal-on-metal articulation, probably because of its lower frictional coefficient and the use of a wider range of pelvic and femoral components.
在过去20年里，近3000例非骨水泥型全髋关节置换术被用于治疗骨关节炎和类风湿性关节炎。文中概述了轴向定位假体的发展情况，并指出了失败的原因。非骨水泥型假体具有死亡率和发病率相对较低的优点，尤其是感染率较低。界面疼痛，无论是否伴有明显的假体松动，是最常见的失败原因，但翻修手术相对容易，且通常很成功。股骨部件向远侧移位多年后，可能会出现无明显疼痛的功能丧失。非骨水泥型金属对塑料关节的发展产生了比金属对金属关节更好的短期效果，这可能是因为其摩擦系数较低，且使用了更广泛的髋臼和股骨部件。
