Christel P, Djian P
Service de Chirurgie Orthopedique, Hôpital Saint-Louis, Paris, France.
Curr Opin Rheumatol. 1994 Mar;6(2):161-71. doi: 10.1097/00002281-199403000-00008.
This article is a summary of the information published in the field of hip surgery in adults over the past year. It reviews the epidemiology and economic aspects of total hip replacement, which dominates adult hip surgery, and examines the long-term results and complications that occur with both cemented and uncemented arthroplasty of the hip. Aseptic loosening is a major problem in the long-term outcome of total hip replacement. Wear of the bearings with production of particulate debris induces a local inflammatory response, activating the bone resorbing cells. Accordingly, revision surgery has become a frequent procedure that raises difficult problems. Strategy, methods, implant design, grafting, and indication for cemented or noncemented total hip replacements are discussed.
本文是过去一年中成人髋关节手术领域已发表信息的总结。它回顾了全髋关节置换术的流行病学和经济方面，全髋关节置换术在成人髋关节手术中占主导地位，并研究了髋关节骨水泥型和非骨水泥型关节成形术的长期结果及并发症。无菌性松动是全髋关节置换术长期疗效的一个主要问题。关节面磨损产生颗粒碎片会引发局部炎症反应，激活骨吸收细胞。因此，翻修手术已成为一个频繁进行的手术，引发了诸多难题。文中讨论了骨水泥型或非骨水泥型全髋关节置换术的策略、方法、植入物设计、植骨及适应证。
