中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
17期
3148-3155
,共8页
骨关节植入物%骨与关节综述%陶瓷对陶瓷界面%金属对金属界面%全髋关节置换%髋关节%髋关节异响%假体%磨损率%摩擦%第三体颗粒%综述文献
骨關節植入物%骨與關節綜述%陶瓷對陶瓷界麵%金屬對金屬界麵%全髖關節置換%髖關節%髖關節異響%假體%磨損率%摩抆%第三體顆粒%綜述文獻
골관절식입물%골여관절종술%도자대도자계면%금속대금속계면%전관관절치환%관관절%관관절이향%가체%마손솔%마찰%제삼체과립%종술문헌
bone and joint implants%review of bone and joint%ceramic-on-ceramic bearing%metal-on-metal bearing%total hip arthroplasty%hip joint%hip noise%prosthesis%wear rate%friction%third particles%review literature
背景:陶瓷对陶瓷界面的人工髋关节假体置换手术目前在临床上广泛开展,但是越来越多的报道显示全陶关节置换术后有些患者会出现髋关节异响,影响患者的手术满意度,严重者甚至患者的生活质量.
目的:综述目前国内外对髋关节异响问题的研究现状,阐明髋关节置换后异响的发生率和危险因素,探究髋关节异响产生的机制和临床防治路径.
方法:由第一作者检索1972年1月至2012年12月PubMed数据库,在标题和摘要中以“total hip arthroplasy,hip squeaking,hip noise”为主题词进行检索有关髋关节异响危险因素及形成原因和机制等方面的相关文献.
结果与结论:异响声在陶瓷对陶瓷界面中和金属对金属界面中都会发生,发生率报道不一.引起全髋关节置换后异响声的原因包括患者因素、手术因素和假体因素,它们间互为因果,相互影响.目前的研究认为异响产生的机制包括边缘负荷,斑纹磨损,假体撞击,第三体颗粒和润滑缺失等.髋关节置换后异响是多因素作用下产生的界面异常摩擦,从而造成假体振动产生异响.大多数患者只需临床随访,少部分患者需要手术干预.
揹景:陶瓷對陶瓷界麵的人工髖關節假體置換手術目前在臨床上廣汎開展,但是越來越多的報道顯示全陶關節置換術後有些患者會齣現髖關節異響,影響患者的手術滿意度,嚴重者甚至患者的生活質量.
目的:綜述目前國內外對髖關節異響問題的研究現狀,闡明髖關節置換後異響的髮生率和危險因素,探究髖關節異響產生的機製和臨床防治路徑.
方法:由第一作者檢索1972年1月至2012年12月PubMed數據庫,在標題和摘要中以“total hip arthroplasy,hip squeaking,hip noise”為主題詞進行檢索有關髖關節異響危險因素及形成原因和機製等方麵的相關文獻.
結果與結論:異響聲在陶瓷對陶瓷界麵中和金屬對金屬界麵中都會髮生,髮生率報道不一.引起全髖關節置換後異響聲的原因包括患者因素、手術因素和假體因素,它們間互為因果,相互影響.目前的研究認為異響產生的機製包括邊緣負荷,斑紋磨損,假體撞擊,第三體顆粒和潤滑缺失等.髖關節置換後異響是多因素作用下產生的界麵異常摩抆,從而造成假體振動產生異響.大多數患者隻需臨床隨訪,少部分患者需要手術榦預.
배경:도자대도자계면적인공관관절가체치환수술목전재림상상엄범개전,단시월래월다적보도현시전도관절치환술후유사환자회출현관관절이향,영향환자적수술만의도,엄중자심지환자적생활질량.
목적:종술목전국내외대관관절이향문제적연구현상,천명관관절치환후이향적발생솔화위험인소,탐구관관절이향산생적궤제화림상방치로경.
방법:유제일작자검색1972년1월지2012년12월PubMed수거고,재표제화적요중이“total hip arthroplasy,hip squeaking,hip noise”위주제사진행검색유관관관절이향위험인소급형성원인화궤제등방면적상관문헌.
결과여결론:이향성재도자대도자계면중화금속대금속계면중도회발생,발생솔보도불일.인기전관관절치환후이향성적원인포괄환자인소、수술인소화가체인소,타문간호위인과,상호영향.목전적연구인위이향산생적궤제포괄변연부하,반문마손,가체당격,제삼체과립화윤활결실등.관관절치환후이향시다인소작용하산생적계면이상마찰,종이조성가체진동산생이향.대다수환자지수림상수방,소부분환자수요수술간예.
@@@@BACKGROUND:Total hip arthroplasty with ceramic-on-ceramic bearings is widely used in clinic. But more and more researches report that hip squeaking may increasingly occur in some patients after ceramic-on-ceramic total hip arthroplasty which can influence not only the surgical satisfaction of patients, but also the quality of daily life severely. @@@@OBJECTIVE:To summarize the current opinions and studies concerning hip squeaking, to elucidate the incidence and risk factors of hip squeaking, and to explore the mechanism and clinical strategy of hip squeaking. @@@@METHODS:The PubMed database was searched for the articles on risk factors, causes and mechanisms of hip squeaking from January 1972 to December 2012 with the key words of“total hip arthroplasy, hip squeaking, and hip noise”which match titles and abstracts. @@@@RESULTS AND CONCLUSION:Hip squeaking may occur in ceramic-on-ceramic bearing surfaces and metal-on-metal bearing surfaces with different frequencies. A number of factors may lead to hip squeaking after total hip arthroplasty, which mainly included patient factors, surgical factors and prosthesis factors, and these factors may be influenced with each other. The recent researches showed that other factors may also contribute to hip squeaking, including edge loading, stripe wear, prosthesis impingement and lack of lubrication and third-body particles. Therefore, hip squeaking after hip arthroplasty is the multiple factors caused interface abnormal friction, thus results in prosthesis vibration and generates abnormal sound. Most patients just need clinical fol ow-up, and few patients require surgical intervention.
