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全髋关节置换患者髋臼松动问题(作者译)

[The problem of acetabular loosening in patients with total hip joint replacement (author's transl)].

作者信息

Täger K H

出版信息

Arch Orthop Unfallchir. 1977 Jan 21;87(1):39-49. doi: 10.1007/BF00416138.

DOI:10.1007/BF00416138
PMID:836221
Abstract

Recently aseptic loosining of the acetabular part in patients with allo-arthroplasty has also become a numerically increasing problem. Different opinions exist regarding the etiology, they range from mechanical to tissue factors. Favourable personal experience with careful handling of the bony acetabulum during surgery appeares to confirm that the size and type of treatment of the acetabular wound during implantation of the acetabular prosthesis are significant factors for the durability of the allo-arthroplasty. A formula which was compiled indicates and clearly shows how the increase in area of the acetabular wound depends on the increase of the acetabular radius. In addition, the laws of cellular reaction from general pathology should be the reason to limit damage to living tissue to the absolutly necessary extent.

摘要

近年来,在接受全关节置换术的患者中,髋臼部分的无菌性松动也已成为一个数量上不断增加的问题。关于其病因存在不同观点,范围从机械因素到组织因素。在手术过程中对髋臼骨质进行精细处理的良好个人经验似乎证实,在髋臼假体植入期间髋臼伤口的大小和处理方式是全关节置换术耐久性的重要因素。编制的一个公式表明并清楚显示了髋臼伤口面积的增加如何取决于髋臼半径的增加。此外,一般病理学中的细胞反应规律应成为将对活组织的损伤限制在绝对必要程度的依据。

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引用本文的文献

1
Aseptic loosening of cement-anchored total hip replacements.
Arch Orthop Trauma Surg (1978). 1982;100(1):19-25. doi: 10.1007/BF00381538.

本文引用的文献

1
The detection and estimation of residual monomer in polymethyl methacrylate.聚甲基丙烯酸甲酯中残留单体的检测与估算
J Dent Res. 1956 Feb;35(1):16-24. doi: 10.1177/00220345560350010901.
2
[Problems of joint substitution].[关节置换问题]
Munch Med Wochenschr. 1969 Sep 5;111(36):1781-90.
3
The reaction of bone to self-curing acrylic cement. A long-term histological study in man.骨对自凝丙烯酸骨水泥的反应。一项人体长期组织学研究。
J Bone Joint Surg Br. 1970 May;52(2):340-53.
4
[Surface temperatures of the hardening bone cement Palacos during fixation of metal endoprotheses in the femoral bone marrow space. Experimental study].[金属人工关节在股骨骨髓腔内固定时骨水泥Palacos的表面温度。实验研究]
Arch Orthop Unfallchir. 1969;67(2):89-100. doi: 10.1007/BF00416830.
5
[The reaction of bone to bone-cement in the replacement of the hip joint].[髋关节置换中骨与骨水泥的反应]
Arch Orthop Unfallchir. 1972;72(1):33-71. doi: 10.1007/BF00415858.
6
[Morphological changes in tissues surrounding alloarthroplastic hipoprostheses. Light- and electronmicroscopic studies (author's transl)].[同种异体髋关节假体周围组织的形态学变化。光镜和电镜研究(作者译)]
Verh Dtsch Ges Pathol. 1974;58:403-7.
7
[Clinical, radiological and histological investigations in loosened total hip replacements (author's transl)].松动全髋关节置换术的临床、放射学及组织学研究(作者译)
Arch Orthop Unfallchir. 1974;80(4):333-42. doi: 10.1007/BF00416080.
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Metal sensitivity as a cause of bone necrosis and loosening of the prosthesis in total joint replacement.
J Bone Joint Surg Br. 1974 Nov;56-B(4):626-42. doi: 10.1302/0301-620X.56B4.626.
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Arch Orthop Unfallchir. 1974;80(2):165-75.
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[Mechanical properties of bonding between trabecular bone and PMMA. Fatigue strength (author's transl)].[松质骨与聚甲基丙烯酸甲酯之间结合的力学性能。疲劳强度(作者译)]
Arch Orthop Unfallchir. 1974;80(1):31-43. doi: 10.1007/BF00416539.