髖臼內襯背側磨損的研究進展_《中國修復重建外科雜志》

作者：

周昆鵬 , 李叔強 , 楊晨 , 齊欣

吉林大學第一醫院骨關節外科（長春，130000）;

關鍵詞：

人工全髖關節置換組配式髖臼假體髖臼內襯背側磨損

DOI：

10.7507/1002-1892.20130319

視頻：

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目的總結采用組配式髖臼假體行人工全髖關節置換術后髖臼內襯背側磨損發生機制、磨損程度評估方法、磨損與髖臼側骨溶解關系以及減少磨損的方法。方法廣泛查閱國內外有關髖臼內襯背側磨損的文獻，并進行總結分析。結果髖臼內襯背側磨損的發生主要與髖臼內襯與臼杯之間微動、髖臼內襯與臼杯接觸界面粗糙、髖臼內襯厚度以及股骨頸假體撞擊有關，目前磨損程度評估方法只適用于翻修術取出的髖臼內襯。髖臼內襯背側磨損可產生聚乙烯磨損顆粒，這些磨損顆粒能通過金屬臼杯釘孔進入髖臼側骨質，與髖臼側骨溶解進程可能有一定關系。針對導致髖臼內襯背側磨損的因素，可以采取完善鎖定機制、使用高拋光接觸界面、髖臼內襯與臼杯良好的形合度、提高聚乙烯髖臼內襯質量、減少撞擊等措施減少磨損的發生。結論目前尚無評估在體髖臼內襯背側磨損的方法，背側磨損與髖臼側骨溶解以及髖臼側假體無菌性松動的關系均有待進一步研究。

引用本文： 周昆鵬,李叔強,楊晨,齊欣. 髖臼內襯背側磨損的研究進展. 中國修復重建外科雜志, 2013, 27(12): 1453-1456. doi: 10.7507/1002-1892.20130319 復制

1.	Terefenko KM, Sychterz CJ, Orishimo K, et al. Polyethylene liner exchange for excessive wear and osteolysis. J Arthroplasty, 2002, 17(6): 798-804.
2.	Williams VG 2nd, Whiteside LA, White SE, et al. Fixation of ultrahigh-molecular-weight polyethylene liners to metal-backed acetabular cups. J Arthroplasty, 1997, 12(1): 25-31.
3.	Kurtz SM, Ochoa JA, White CV, et al. Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement. J Biomech, 1998, 31(5): 431-437.
4.	Lieberman JR, Kay RM, Hamlet WP, et al. Wear of the polyethylene liner-metallic shell interface in modular acetabular components. An in vitro analysis. J Arthroplasty, 1996, 11(5): 602-608.
5.	Yamaguchi M, Akisue T, Bauer TW, et al. The spatial location of impingement in total hip arthroplasty. J Arthroplasty, 2000, 15(3): 305-313.
6.	Kligman M, Furman BD, Padgett DE, et al. Impingement contributes to backside wear and screw-metallic shell fretting in modular acetabular cups. J Arthroplasty, 2007, 22(2): 258-264.
7.	Della Valle AG, Rana A, Furman B, et al. Backside wear is low in retrieved modern, modular, and nonmodular acetabular liners. Clin Orthop Relat Res, 2005, (440): 184-191.
8.	Akbari A, Roy ME, Whiteside LA, et al. Minimal backside surface changes observed in retrieved acetabular liners. J Arthroplasty, 2011, 26(5): 686-692.
9.	Dumbleton JH, Manley MT, Edidin AA. A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty, 2002, 17(5): 649-661.
10.	Young AM, Sychterz CJ, Hopper RH Jr, et al. Effect of acetabular modularity on polyethylene wear and osteolysis in total hip arthroplasty. J Bone Joint Surg (Am), 2002, 84-A(1): 58-63.
11.	Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg (Am), 1992, 74(6): 849-863.
12.	Barrack RL, Folgueras A, Munn B, et al. Pelvic lysis and polyethylene wear at 5-8 years in an uncemented total hip. Clin Orthop Relat Res, 1997, (335): 211-217.
13.	Wasielewski RC, Jacobs JJ, Arthurs B, et al. The acetabular insert-metal backing interface: an additional source of polyethylene wear debris. J Arthroplasty, 2005, 20(7): 914-922.
14.	Huk OL, Bansal M, Betts F, et al. Polyethylene and metal debris generated by non-articulating surfaces of modular acetabular components. J Bone Joint Surg (Br), 1994, 76(4): 568-574.
15.	Urban RM, Hall DJ, Della Valle C, et al. Successful long-term fixation and progression of osteolysis associated with first-generation cementless acetabular components retrieved post mortem. J Bone Joint Surg (Am), 2012, 94(20): 1877-1885.
16.	Krieg AH, Speth BM, Ochsner PE. Backside volumetric change in the polyethylene of uncemented acetabular components. J Bone Joint Surg (Br), 2009, 91(8): 1037-1043.
17.	Yamaguchi M, Bauer TW, Hashimoto Y. Deformation of the acetabular polyethylene liner and the backside gap. J Arthroplasty, 1999, 14(4): 464-469.
18.	Urban RM, Hall DJ, Dahlmeier EL, et al. Reduced backside wear, particle migration, and osteolysis in third generation cementless acetabular components retrieved postmortem. LasVegas: [s.n], 2009.
19.	Bobyn JD, Tanzer M, Krygier JJ, et al. Concerns with modularity in total hip arthroplasty. Clin Orthop Relat Res, 1994, (298): 27-36.
20.	Muratoglu OK, Bragdon CR, O’Connor DO, et al. A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul Award. J Arthroplasty, 2001, 16(2): 149-160.
21.	Glyn-Jones S, Isaac S, Hauptfleisch J, et al. Does highly cross-linked polyethylene wear less than conventional polyethylene in total hip arthroplasty? A double-blind, randomized, and controlled trial using roentgen stereophotogrammetric analysis. J Arthroplasty, 2008, 23(3): 337-343.
22.	Atienza C Jr, Maloney WJ. Highly cross-linked polyethylene bearing surfaces in total hip arthroplasty. J Surg Orthop Adv, 2008, 17(1): 27-33.

1. Terefenko KM, Sychterz CJ, Orishimo K, et al. Polyethylene liner exchange for excessive wear and osteolysis. J Arthroplasty, 2002, 17(6): 798-804.
2. Williams VG 2nd, Whiteside LA, White SE, et al. Fixation of ultrahigh-molecular-weight polyethylene liners to metal-backed acetabular cups. J Arthroplasty, 1997, 12(1): 25-31.
3. Kurtz SM, Ochoa JA, White CV, et al. Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement. J Biomech, 1998, 31(5): 431-437.
4. Lieberman JR, Kay RM, Hamlet WP, et al. Wear of the polyethylene liner-metallic shell interface in modular acetabular components. An in vitro analysis. J Arthroplasty, 1996, 11(5): 602-608.
5. Yamaguchi M, Akisue T, Bauer TW, et al. The spatial location of impingement in total hip arthroplasty. J Arthroplasty, 2000, 15(3): 305-313.
6. Kligman M, Furman BD, Padgett DE, et al. Impingement contributes to backside wear and screw-metallic shell fretting in modular acetabular cups. J Arthroplasty, 2007, 22(2): 258-264.
7. Della Valle AG, Rana A, Furman B, et al. Backside wear is low in retrieved modern, modular, and nonmodular acetabular liners. Clin Orthop Relat Res, 2005, (440): 184-191.
8. Akbari A, Roy ME, Whiteside LA, et al. Minimal backside surface changes observed in retrieved acetabular liners. J Arthroplasty, 2011, 26(5): 686-692.
9. Dumbleton JH, Manley MT, Edidin AA. A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty, 2002, 17(5): 649-661.
10. Young AM, Sychterz CJ, Hopper RH Jr, et al. Effect of acetabular modularity on polyethylene wear and osteolysis in total hip arthroplasty. J Bone Joint Surg (Am), 2002, 84-A(1): 58-63.
11. Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg (Am), 1992, 74(6): 849-863.
12. Barrack RL, Folgueras A, Munn B, et al. Pelvic lysis and polyethylene wear at 5-8 years in an uncemented total hip. Clin Orthop Relat Res, 1997, (335): 211-217.
13. Wasielewski RC, Jacobs JJ, Arthurs B, et al. The acetabular insert-metal backing interface: an additional source of polyethylene wear debris. J Arthroplasty, 2005, 20(7): 914-922.
14. Huk OL, Bansal M, Betts F, et al. Polyethylene and metal debris generated by non-articulating surfaces of modular acetabular components. J Bone Joint Surg (Br), 1994, 76(4): 568-574.
15. Urban RM, Hall DJ, Della Valle C, et al. Successful long-term fixation and progression of osteolysis associated with first-generation cementless acetabular components retrieved post mortem. J Bone Joint Surg (Am), 2012, 94(20): 1877-1885.
16. Krieg AH, Speth BM, Ochsner PE. Backside volumetric change in the polyethylene of uncemented acetabular components. J Bone Joint Surg (Br), 2009, 91(8): 1037-1043.
17. Yamaguchi M, Bauer TW, Hashimoto Y. Deformation of the acetabular polyethylene liner and the backside gap. J Arthroplasty, 1999, 14(4): 464-469.
18. Urban RM, Hall DJ, Dahlmeier EL, et al. Reduced backside wear, particle migration, and osteolysis in third generation cementless acetabular components retrieved postmortem. LasVegas: [s.n], 2009.
19. Bobyn JD, Tanzer M, Krygier JJ, et al. Concerns with modularity in total hip arthroplasty. Clin Orthop Relat Res, 1994, (298): 27-36.
20. Muratoglu OK, Bragdon CR, O’Connor DO, et al. A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul Award. J Arthroplasty, 2001, 16(2): 149-160.
21. Glyn-Jones S, Isaac S, Hauptfleisch J, et al. Does highly cross-linked polyethylene wear less than conventional polyethylene in total hip arthroplasty? A double-blind, randomized, and controlled trial using roentgen stereophotogrammetric analysis. J Arthroplasty, 2008, 23(3): 337-343.
22. Atienza C Jr, Maloney WJ. Highly cross-linked polyethylene bearing surfaces in total hip arthroplasty. J Surg Orthop Adv, 2008, 17(1): 27-33.

《中國修復重建外科雜志》

髖臼內襯背側磨損的研究進展

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《中國修復重建外科雜志》

髖臼內襯背側磨損的研究進展

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