CAJ | 학술논문

目的:对颞下颌关节假体的材料、设计、适形与固定技术及临床应用进行文献复习.资料来源:应用计算机检索Pubmed 1998-01/2006-12有关人工颞下颌关节假体方面的文献,检索词"temporomandibular joint,joint prosthesis",并限定文章语言种类为English.资料选择:对检索到的人工颞下颌关节假体方面的相关文献进行整理,选取针对性强的文章.同一领域的文献则选择近期发表或权威杂志的文章.资料提炼:共检索到69篇相关文献,其中28篇文章符合要求.排除41篇,其中因研究目的与本研究无关者23篇,18篇系重复同一研究.资料综合:人工关节是矫形外科近30年来发展最快的领域之一.人工颢颌关节置换的目的在于增进下颌的功能,缓解疼痛,预防严重的并发症.随着材料学、组织工程、关节生物力学等相关学科的飞速发展,人工颢下颌关节在关节假体的植入材料、假体的设计、假体的适形与固定技术等方面也发生了显著改进.人们从单纯模拟其外形、机械运动到更注重生理功能.追踪人工髋、膝关节的新进展并将有益的成果用于颞下颌关节假体的设计制造具有非常重要的意义.结论:假体材料对人工关节的发展具有先导和推动作用,良好的设计及适形与固定是假体行使功能的必要条件,关节生物力学的研究是必要的.人工颞下颌关节的研究有待深入,具有良好的发展前景.
목적:대섭하합관절가체적재료、설계、괄형여고정기술급림상응용진행문헌복습.자료래원:응용계산궤검색Pubmed 1998-01/2006-12유관인공섭하합관절가체방면적문헌,검색사"temporomandibular joint,joint prosthesis",병한정문장어언충류위English.자료선택:대검색도적인공섭하합관절가체방면적상관문헌진행정리,선취침대성강적문장.동일영역적문헌칙선택근기발표혹권위잡지적문장.자료제련:공검색도69편상관문헌,기중28편문장부합요구.배제41편,기중인연구목적여본연구무관자23편,18편계중복동일연구.자료종합:인공관절시교형외과근30년래발전최쾌적영역지일.인공호합관절치환적목적재우증진하합적공능,완해동통,예방엄중적병발증.수착재료학、조직공정、관절생물역학등상관학과적비속발전,인공호하합관절재관절가체적식입재료、가체적설계、가체적괄형여고정기술등방면야발생료현저개진.인문종단순모의기외형、궤계운동도경주중생리공능.추종인공관、슬관절적신진전병장유익적성과용우섭하합관절가체적설계제조구유비상중요적의의.결론:가체재료대인공관절적발전구유선도화추동작용,량호적설계급괄형여고정시가체행사공능적필요조건,관절생물역학적연구시필요적.인공섭하합관절적연구유대심입,구유량호적발전전경.
OBJECTIVE:To summarize the materials, design, fit-shape and fixation techniques and clinical application of temporomandibular joint (TMJ) prosthesis.DATA SOURCES: An online search was undertaken to identify English articles about TMJ prosthesis published in Pubmed database from January 1998 to December 2006 using the key words of "temporomandibular joint, joint prosthesis".STUDY SELECTION: The collected literatures about TMJ prosthesis were sorted, and those with good pertinence were selected. For the literatures of the same field, those published recently or in authorized journals were selected.DATA EXTRACTION: Totally 69 literatures were collected, 28 were enrolled, and the other 41 were excluded, including 23 were irrelative with the aim of this study, and 18 were repetitive studies.DATA SYNTHESIS: Joint prosthesis is one of the fields that develop the fastest in orthopedic surgery in recent 30 years.TMJ replacement aims to enhance the function of TMJ, alleviate pain, and prevent serious complication. With the rapid developments of material science, tissue engineering, joint biomechanics and other related subjects, TMJ prosthesis has been significantly improved in the materials, design, fit-shape and fixation techniques. People have developed from simply imitating the outline form and mechanical motor of TMJ to pay more attention to its pathological function. It is very significant to trace the new progress in hip prosthesis and knee joint, and apply the good outcomes in the design and manufacture of TMJ prosthesis.CONCLUSION: Prosthetic material plays leading and promoting roles in the development of joint prosthesis, good design,fit-shape and fixation are the necessary conditions for prosthesis to act its role, and it is also necessary to investigate joint biomechanics. TMJ prosthesis should be further investigated, and it has good prospect.