摘要髋关节金属对金属表面置换（metal-on-metal hip resur-facings,MMHRs,MOM）是年轻及活动量大的患者一种良好的选择，有保存股骨颈，减少脱位、增加关节活动度等优点^[1]，特别为今后翻修提供了良好条件㈦。20世纪80年代后第二代MOM由于较好地解决了磨损等问题，目前在临床已较广泛的应用。
1Clarke MT, Lee PT, Villar RN. Dislocation afler total hip replacement in relation to metal-on-metal bearing surfaces. J Bone Joint Surg (Br), 2003, 85: 6504554.
2Amstutz HC, Campbell P, Le Duff MJ. Metal-on-metal hip resurfacing: what have we learned? Instr Course Lect, 2007, 56: 149-161.
3Amstutz HC, Grigoris P. Metal on metal bearings in hip arthroplasty, Clin Orthop Relat Res, 1996(329 Suppl): S11-34.
4Dowson D, Hardaker C, Flett M, et al. A hip joint simulator study of the performance of metal-on-metal joints: Part I: the role of materials. J Arthroplasty, 2004, 19 (8 Suppl 3): 118-123.
5Firkins PJ, Tipper JL, Ingham E, et al. Influence of simulator kinematics on the wear of metal-on-metal hip prostheses. Proc Inst Mech Eng [H], 2001, 215: 119-121.
6Udofia IJ, Jin ZM. Elastohydrodynamic lubrication analysis of metalon-metal hip-resurfacing prostheses. J Biomech, 2003, 36: 537-544.
7Dowson D, Hardaker C, Flett M, et al. A hip joint simulator study of the performance of metal-on-metal joints: Part II: design. J Arthroplasty, 2004, 19 (8 Suppl 3): 124-130.
8Affatato S, Leardini W, Jedenmalm A, et al. Larger diameter bearings reduce wear in metal-on-metal hip implants. Cliia Orthop Relat Res, 2007 (456): 153-158.
9Smith SL, Dowson D, Goldsmith AA. The effect of femoral head diameter upon lubrication and wear of metal-on-metal total hip replacements. Proc Inst Mech Eng [H], 2001, 215: 161-170.
10Farrar R, Schmidt MB. The effect of diametral clearance on wear between head and cup for metal on metal articulation. Trans 43rd orthop Res Soc 1997: 71.
3Shybut GT, Askew MJ, Horii RY, et al. Theoretical and experimental studies of femoral stresses following surface replacement hip arthroplasty. In the hip. CV Mosby St Louis, 1980, 1:192
4Watanable Y, Shiba N, Matsuo S, et al. Biomechanical study of the resuefacing hip arthroplasty: finite element analysis of the femoral component. J Arthroplasty, 2000, 15:505
5Kishida Y, Sugano N, Nishii T, et al. Preservation of the bone mineral density of the femur after surface replacement of the hip. J Bone Joint Stag (Br), 2004, 86:185
6Amstutz HC, Ebramzadeh E, Sarkany A, et al. Preservation of bone mineral density of the proximal femur following hemisurface arthroplasty. Orthopedic, 2004, 27:1266
7Orr TE,. Beaupre GS, Carter DR, at al. Computer predictions of bone remodeling around porouscoated implants. J Arthroplasty, 1990, 5:191
8Waal D, Malefijt MC, Huiskes R. A clinical, radiologieal and biomechanical study of the TARA hip prosthesis. Arch Orthop TraumaSurg, 1993, 112:220
9Phillips TW, Johnston G, Wood P. Selection of animal model for resurfacing hip arthroplasty. J Arthroplasty, 1987, 2:111
10McMinn DJW, Treacy R, Lin K, et al. Metal on metal surface replacement of the hip. Clin Orthop, 1996, 329:89
