中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (35): 6628-6631.doi: 10.3969/j.issn.1673-8225.2011.35.040

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

不同材料人工髋关节关节面磨损对无菌性松动的影响

肖瑾瑛，肖小燕，唐方根，刘建庭   

  1. 井冈山大学附属医院，江西省吉安市  343000
  • 收稿日期:2011-05-12 修回日期:2011-07-18 出版日期:2011-08-27 发布日期:2011-08-27
  • 作者简介:肖瑾瑛，女，1970年生，江西省吉安市人，汉族，副主任护师，主要从事骨科临床护理方面的研究。 xjy.ja@163.com

Effect of articular surface wear of different-material artificial hip joints on aseptic loosening

Xiao Jin-ying, Xiao Xiao-yan, Tang Fang-gen, Liu Jian-ting   

  1. Affiliated Hospital of Jinggangshan University, Ji’an  343000, Jiangxi Province, China
  • Received:2011-05-12 Revised:2011-07-18 Online:2011-08-27 Published:2011-08-27
  • About author:Xiao Jin-ying, Associate chief nurse, Affiliated Hospital of Jinggangshan University, Ji’an 343000, Jiangxi Province, China xjy.ja@163.com

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被引次数

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摘要：

目的：分析各种人工髋关节假体材料在实际应用中的优势和存在的问题, 对不同材料人工髋关节关节面的磨损对无菌性松动的影响进行评价。
方法：以“生物材料，人工髋关节，假体，髋关节表面置换”为中文关键词，“biological materials，hip，prosthesis，hip resurfacing”为英文关键词，采用计算机检索1990-01/2009-12相关文章。纳入与不同材料人工髋关节关节面的磨损对无菌性松动的影响相关的文章；排除重复研究或Meta分析类文章。
结果：人工髋关节的寿命和关节面的磨损密切相关，人工髋关节置换在临床应用研究过程中, 出现无菌性松动等问题，这些问题的产生不但与假体的设计有关, 而且与假体所用材料有着密切的关系，比较了不同人工髋关节假体材料的性能，为临床选择一种具耐磨损、生物相容性好的理想人工髋关节假体材料提供依据。
结论：髋关节假体材料的表面改性和人体髋关节生物摩擦行为是未来研究的热点，髋关节假体材料性能评价体系的完善是亟待解决的问题。

关键词: 无菌性松动, 生物材料, 人工髋关节, 假体, 髋关节表面置换, 摩擦

Abstract:

OBJECTIVE: To analyze the advantage and problems of artificial hip joints made of different materials in clinical applications, and to evaluate the effects of articular surface wear on aseptic loosening.
METHODS: A computer search of relevant articles published from January 1990 to December 2009 was performed by using the keywords of “biological materials, hip, prosthesis, hip resurfacing” in Chinese and English. Repetitive studies or Meta analysis were excluded.
RESULTS: The life of artificial hip joints is closely related to the articular surface wear. The appearance of aseptic loosening is not only related to the design of prostheses, but also associated with prosthetic materials. Based on the comparison of different hip prosthesis material properties, we provide the basis for the selection of an ideal hip prosthesis material with good wear resistance and biocompatibility.
CONCLUSION: Surface modification of hip prosthesis materials and frictional behavior of human hip joint are biological hot spots in the future. The evaluation system for hip prosthesis materials is a serious problem to be solved.

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