髋关节表面置换

Hip Resurfacing Arthroplasty

人工全髋关节置换术是20世纪医学领域的革命性进步,全髋关节假体失效后要进行翻修手术,翻修手术难度大,并发症多,效果差。髋关节表面置换术与人工全髋关节置换术同属于髋关节成形术的范畴,其设计初衷是为了尽可能多保留骨组织,以期在假体失效再行人工全髋关节置换术时达到初次人工全髋关节置换术的效果。此术式曾在2000年前后风靡欧洲、澳洲,因10年生存率低于人工全髋关节置换术标准,而被相关部门限制。因其在年轻、活动量多的男性患者中效果极佳而仍可实施。该文就髋关节表面置换的现状、适应证和禁忌症、技术要点、并发症及展望进行综述。

Total hip arthroplasty is a revolutionary progress in the field of medicine in twentieth Century. After the failure of the total hip prosthesis, it is necessary to conduct the revision surgery after total hip prosthesis failure with big difficulty of revision surgery, more complications and bad effect. The hip resurfacing arthroplasty and total hip arthroplasty are the category of arthroplasty of hip, and the original intention of design is try to reserve the bone tissues, to achieve the effect of total hip arthroplasty when the prosthesis failed. The surgery has been popular in Europe, Aus- tralia before and after 2000 years, because the 10-year survival rate is lower than the standard of total hip replacement standards, restricted by the related department, and it can be implemented due to the good effect in young males with more activity. The paper elaborates the status of hip resurfacing, indications and contraindications, key points of tech- nology, complication and prospect.