中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (52): 9843-9846.doi: 10.3969/j.issn.1673-8225.2011.52.035

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

髋臼前倾角对全髋关节置换假体的影响

吴炳华1,戴  闽2   

  1. 1南昌大学第四附属医院,江西省南昌市  330003
    2南昌大学第一附属医院,江西省南昌市  330003
  • 收稿日期:2011-10-28 修回日期:2011-12-01 出版日期:2011-12-24 发布日期:2011-12-24
  • 作者简介:吴炳华★,男,1973年生,江西省丰城市人,汉族,2006年南昌大学医学院毕业,硕士,主治医师,主要从事骨外科脊椎、关节、创伤专业的研究。 binghua09@163.com

Acetabular anteversion effect on the prosthesis in total hip arthroplasty

Wu Bing-hua1, Dai Min2   

  1. 1Fourth Affiliated Hospital of Nanchang University, Nanchang  330003, Jiangxi Province, China
    2First Affiliated Hospital of Nanchang University, Nanchang  330003, Jiangxi Province, China
  • Received:2011-10-28 Revised:2011-12-01 Online:2011-12-24 Published:2011-12-24
  • About author:Wu Bing-hua★, Master, Attending physician, Fourth Affiliated Hospital of Nanchang University, Nanchang 330003, Jiangxi Province, China binghua09@163.com

摘要:

背景:髋臼杯即髋臼假体的安放角度是手术成功的关键因素,髋臼外展角、前倾角是评价髋臼假体放置是否合理的重要参数。
目的:综述了髋臼前倾角的测量方法,髋臼前倾角与假体的关系,为临床合理放置假体提供理论指导。
方法:应用计算机检索万方、维普和PubMed数据库中2011-08之前关于全髋关节置换髋臼前倾角的文章,在标题和摘要中以“全髋关节置换;髋臼前倾角;人工关节;测量”为检索词进行检索。选择文章内容与关节置换及髋臼前倾角相关,同一领域文献则选择近期发表或发表在权威杂志文章。初检得到285篇文献,根据纳入标准选择25篇文章进行综述。
结果与结论:髋臼假体精确的放置对关节的稳定性十分重要,目前大多数学者认为臼假体安放于外展40°~45°、前倾15°~20°比较合理。

关键词: 髋臼假体, 人工关节, 置换, 前倾角, 测量

Abstract:

BACKGROUND: Placement angle of the acetabular cup is a key factor for successful operation. Acetabular abduction and acetabular anteversion are two important parameters to evaluate the reasonableness of the prosthesis placement.
OBJECTIVE: To review the measurement methods of the acetabular anteversion as well as the relationship between the acetabular anteversion and the prosthesis providing theoretical guidance for reasonable placement of the prosthesis.
METHODS: A computer-based search of Wanfang, VIP and PubMed was performed for articles addressing the acetabular anteversion in total hip arthroplasty published before August 2011. The keywords were “total hip arthroplasty, acetabular anteversion, artificial joint, measurement”. Articles in the same field published recently or in authoritative journals were preferred. Totally 285 articles were retrieved, and finally 25 articles meeting the inclusive criteria were included.
RESULTS AND CONCLUSION: The accuracy placement of the acetabular prosthesis is very important for the stability of the joints. Most scholars now believe that the acetabular prosthesis is placed reasonably with the acetabular abduction of 40°-45° and the acetabular anteversion of 15°-20°.

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