中国组织工程研究 ›› 2018, Vol. 22 ›› Issue (35): 5577-5582.doi: 10.3969/j.issn.2095-4344.1002

• 人工假体 artificial prosthesis •    下一篇

第4代全陶瓷全髋关节置换后陶瓷部件碎裂的因素分析

周 驰1,何 伟2,刘予豪1,郭 海1,唐宏宇1,张罡瑜1,王海彬2   

  1. 1广州中医药大学,广东省广州市 510405;2广州中医药大学第一附属医院关节骨科,广东省广州市 510405
  • 出版日期:2018-12-18 发布日期:2018-12-18
  • 通讯作者: 王海彬,博士后,主任中医师,广州中医药大学第一附属医院关节骨科,广东省广州市 510405
  • 作者简介:周驰,男,1981年生,河南省人,汉族,2014年广州中医药大学毕业,博士,主治医师,主要从事股骨头坏死方面的研究。
  • 基金资助:

    国家自然科学基金课题(81173284);国家自然科学基金课题(81373655);广东省自然科学基金项目(2015A030310203);青年科研人才培优项目(2015QN01);广州中医药大学高水平大学建设面上项目(A1-AFD018171Z11057)

Factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty

Zhou Chi1, He Wei2, Liu Yuhao1, Guo Hai1, Tang Hongyu1, Zhang Gangyu1, Wang Haibin2   

  1. 1Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 2Department of Bone and Joint Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Online:2018-12-18 Published:2018-12-18
  • Contact: Wang Haibin, MD, Chief physician, Department of Bone and Joint Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • About author:Zhou Chi, MD, Attending physician, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81173284 and 81373655; the Natural Science Foundation of Guangdong Province, No. 2015A030310203; the Youth Research Talents Training Project, No. 2015QN01; the High-Level University Construction Project of Guangxi University of Chinese Medicine, No. A1-AFD018171Z11057

摘要:

文章快速阅读:

 

文题释义:
4代全陶瓷髋关节假体:具有出色的设计和物理性能,在第3代陶瓷假体基质中加入了高韧性、高强度的板状结晶(17%四方氧化锆颗粒、3%铬酸锶铝),进而达到增韧和裂纹偏转的效果,发生条状磨损、破裂的概率明显减少,但仍存在破裂问题。
陶瓷破碎:陶瓷人工关节假体具有良好的生物相容性、惰性、稳定的化学性质以及出色的耐磨性等优点,一般情况下不易引起陶瓷碎裂,但仍旧有一定的发生率,可能与体质因素、机械因素、假体选择与匹配、手术相关因素等相关。
 
摘要
背景:目前全髋关节置换已经成为最成功、技术最成熟的外科手术之一,尽管材料选择已取得巨大进步,但诸如界面磨损、骨溶解及假体松动等现象严重影响其远期疗效。
目的:分析第4代全陶瓷全髋关节置换后陶瓷部件碎裂的相关因素。
方法:收集病例资料,通过检索中国知网CNKI、PubMed数据库及Web of science数据库,综述第4代全陶瓷全髋关节置换后陶瓷部件碎裂的相关因素。
结果与结论:①虽然第4代全陶瓷全髋关节假体具有较高的硬度及耐磨性,但仍存在碎裂的可能,其发生的原因与体质因素、机械因素、假体的选择和匹配、手术相关因素等密切相关;②提示行该类手术之前应与患者解释清楚,并告知其有碎裂的风险,在保证陶瓷部件恰当置入的前提下,尤其对于年轻、活跃的患者,陶瓷界面关节可以提供较好的结果。

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程
ORCID: 0000-0001-5847-8355(周驰)

关键词: 全髋关节置换, 陶瓷部件, 碎裂, 骨科植入物, 国家自然科学基金

Abstract:

BACKGROUND: Total hip arthroplasty has become a most successful and mature surgical procedure, despite tremendous advances in material selection, phenomena such as interfacial wear, osteolysis, and prosthesis loosening severely affect long-term efficacy.

OBJECTIVE: To analyze the factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty.
METHODS: Case data were collected. The literature concerning the factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty were reviewed by searching the CNKI, PubMed and Web of science databases.
RESULTS AND CONCLUSION: (1) Although the fourth-generation ceramic-on-ceramic total hip prosthesis possesses high hardness and wear resistance, the possibility of fragmentation still exits. The causes and physical factors, mechanical factors, prosthesis selection and matching, surgery relevant factors are closely related. (2) Therefore, before performing this type of surgery, we should explain clearly to the patient and inform the risk of fragmentation. The ceramic interface joints can provide good results when ensuring proper implantation of ceramic components, especially for young and active patients. 

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

Key words: Arthroplasty, Replacement, Hip, Prosthesis Implantation, Ceramics, Tissue Engineering

中图分类号: