How have alternative bearings (such as metal-on-metal, highly cross-linked polyethylene, and ceramic-on-ceramic) affected the prevention and treatment of osteolysis?

被引：28

作者：

Callaghan, John J. ^{[1
,2
]}

Cuckler, John M. ^{[3
]}

Huddleston, James I. ^{[4
]}

Galante, Jorge O. ^{[5
,6
]}

机构：

[1] Univ Iowa, Iowa City, IA 52242 USA

[2] Vet Affairs Med Ctr, Iowa City, IA 52242 USA

[3] Alabama Spine & Joint Ctr, Birmingham, AL USA

[4] Stanford Univ, Sch Med, Dept Orthopaed Surg, Stanford, CA 94305 USA

[5] Rush Presbyterian St Lukes Med Ctr, Rush Arthritis & Orthoped Inst, Chicago, IL USA

[6] Rush Univ, Med Ctr, Rush Med Coll, Dept Orthoped Surg, Chicago, IL 60612 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2008年 / 16卷

关键词：

D O I：

10.5435/00124635-200800001-00008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Osteolysis is a multifactorial process dependent on surgical technique, implant design, patient factors, and material composition. Alternative bearing surfaces, such as highly crosslinked polyethylene, ceramic-on-ceramic, and metal-on-metal articular surfaces, have been introduced in an attempt to reduce wear and osteolysis following total hip arthroplasty. Intermediate-term follow-up data available suggest that the prevalence and severity of osteolysis may be reduced with these materials compared with conventional metal-on-polyethylene hearing surface couples. However, long-term data are presently unavailable; the future performance of these bearings awaits clinical validation.

引用

页码：S33 / S38

页数：6

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