Weissman B N, Simmons B P, Thomas W H
Department of Radiology, Harvard Medical School, Boston, Massachusetts.
Radiol Clin North Am. 1995 Mar;33(2):355-73.
Replacement of larger joints other than the hip and knee has been relatively disappointing and remains in a developmental stage. In the small joints, initial enthusiasm for silicone rubber arthroplasty has diminished in all sites except the MCPs because of the recognition of the high frequency of silicone synovitis. Further research and development is ongoing. This article was intended to facilitate understanding of the choices of operative procedures, the types of available components, and particularly, the specifics of radiographic assessment of the success or failure of these "other" prostheses. We hope this information will be helpful in assessing postoperative radiographs, as "We only see what we look for and we only look for what we know."
除髋关节和膝关节外的其他大关节置换一直相对令人失望,仍处于发展阶段。在小关节方面,由于认识到硅橡胶滑膜炎的高发生率,除掌指关节外,其他部位对硅橡胶关节成形术的最初热情已经减退。进一步的研发工作正在进行中。本文旨在促进对手术方法的选择、可用假体组件的类型,特别是对这些“其他”假体成功或失败的影像学评估细节的理解。我们希望这些信息将有助于评估术后X光片,因为“我们只看到我们所寻找的,而我们只寻找我们所知道的”。