The current state of bearing surfaces in total hip replacement

被引:56
作者
Rajpura, A. [1 ]
Kendoff, D. [1 ]
Board, T. N. [1 ]
机构
[1] Wrightington Hosp, Ctr Hip Surg, Appley Bridge WN6 9EP, Wigan, England
关键词
METAL-ON-METAL; CROSS-LINKED POLYETHYLENE; MOLECULAR-WEIGHT POLYETHYLENE; RANDOMIZED CONTROLLED-TRIAL; FUNCTIONAL BIOLOGICAL-ACTIVITY; ALUMINA CERAMIC BEARINGS; IN-VIVO DETERMINATION; OXINIUM FEMORAL-HEAD; TNF-ALPHA PRODUCTION; LONG-TERM WEAR;
D O I
10.1302/0301-620X.96B2.31920
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
We reviewed the literature on the currently available choices of bearing surface in total hip replacement (THR). We present a detailed description of the properties of articulating surfaces review the understanding of the advantages and disadvantages of existing bearing couples. Recent technological developments in the field of polyethylene and ceramics have altered the risk of fracture and the rate of wear, although the use of metal-on-metal bearings has largely fallen out of favour, owing to concerns about reactions to metal debris. As expected, all bearing surface combinations have advantages and disadvantages. A patient-based approach is recommended, balancing the risks of different options against an individual's functional demands.
引用
收藏
页码:147 / 156
页数:10
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