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髋臼高位放置技术在人工髋关节置换中的应用研究与进展

朴尚 杜银桥 周勇刚

中国组织工程研究2017,Vol.21Issue(11):1776-1782,7.
中国组织工程研究2017,Vol.21Issue(11):1776-1782,7.DOI:10.3969/j.issn.2095-4344.2017.11.024

髋臼高位放置技术在人工髋关节置换中的应用研究与进展

Research and progress of high placement technique in total hip arthroplasty

朴尚 1杜银桥 1周勇刚1

作者信息

  • 1. 解放军总医院骨科,北京市 100853
  • 折叠

摘要

Abstract

BACKGROUND: Bone defects are widely seen in patients with development dysplasia of hip or revision, thus resulting in a difficulty in acetabular treatment. High placement technique has been suggested to ensure the appropriate bone-prosthesis contact and simplify the surgery. Because biomechanics is involved, it has aroused many concerns,even its curative efficacy.OBJECTIVE: To summarize the research and progress of high placement technique applied in total hip arthroplasty (THA).METHODS: A computer-based online research was conducted for articles published until December 2016 in PubMed and CNKI databases using the keywords of "proximal placement, superior placement, high placement, high hip center,elevated hip center, total hip arthroplasty, revision total hip arthroplasty, dysplasia of developmental hip" in English and Chinese, respectively. Totally 67 literatures were retrieved, and finally 45 eligible articles were enrolled in accordance with the inclusion criteria.RESULTS AND CONCLUSION: (1) High placement technique is feasible for acetabular bone defects in THA, especially can simplify THA with complicated conditions. (2) Seemingly it goes against the principle of restoring anatomic hip center,but THA with high placement can obtain initial stability based on enough bone contact through adjusting the reconstruction position properly, interface improvement, appropriate prosthesis, as well as developed operations and conception, meanwhile, exposes no effect on biomechanics of hip. (3) Notably, the definition and term of high placement are chaotic in Chinese and English literatures, which need to be standardized further.

关键词

骨科植入物/人工假体/臼杯/高旋转中心/髋臼高位放置技术/全髋关节置换/髋关节翻修术/先天性髋关节发育不良/北京市自然科学基金

分类

医药卫生

引用本文复制引用

朴尚,杜银桥,周勇刚..髋臼高位放置技术在人工髋关节置换中的应用研究与进展[J].中国组织工程研究,2017,21(11):1776-1782,7.

基金项目

北京市自然科学基金(7152139) the Natural Science Foundation of Beijing, No. 7152139 (7152139)

中国组织工程研究

OA北大核心CSTPCD

2095-4344

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