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位置:GZ医疗队医疗教学教学文档认识常见病

非骨水泥型全髋关节置换术(4)


来源:      作者:      点击:次      时间:2008-10-26

  结论
  全髋置换术的成功与否取决于诸多因素,如:疾病的种类、病人特点(年龄、肥胖等)、假体和设计因素、医生的技术因素等等。手术技术糟糕的医生即使使用设计优秀的假体也很难取得好的结果;医生手术技术虽好却没有使用效果肯定的假体同样也不会取得成功。非骨水泥型髋关节置换术需要良好的手术技巧和精心的术前设计,同时根据患者的骨质情况,髓腔类型选择合适的假体是取得手术成功的关键。
参考文献
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  2 Morscher EW. Cementless total hip athroplaty .Clin Ortho 1983;181:76-91.
  3 Callaghan JJ. The uncemented porous-coated anatomic total hip prosthesis. J.B.J.S 1988;70A:337-346
  5 Martell JM. Primary total hip reconstruction with a titanium fiber-coated prosthesis inserted without cement . J.B.J.S ,1993;75A
  6 Kwong LM A quantitative in vitro assessment of fit and scew fixation on the stability of a cementless hemispherical acetabular component .J Arthroplasty,1994
  7 Moore AT A metal hip joint: a new self-locking prosthesis . South Med J 1952
  8 Mclaughlin JR Total hip arthroplasty with an uncemented femoral compoment :Excellent results at ten-year follow-up .J.B.J.S 1997;79B
  9 Berger RA Primary cementless acetabular reconstruction in patient younger than 50 years old :7 to 11 year results. Clin Orthop 1997;344:216-226
  10 Capello WN Hydroxyapatite-coated total hip femoral components in patients less than fifty year old :clinical and radiographic results after five to eight years of follow-up. J.B.J.S 1997;79A:1023-1029

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