老年骨质疏松症对人工髋关节置换影响的实验研究.pdfVIP

·462· ·实验研究· 老年骨质疏松症对人工髋关节置换影响的 实验研究△ 沈国平+ 王 正+ 罗从风一 彭永岳。 王以进一。 罗 轶+ 陈伟兵’ 毛汉兴’ 何福斋’ 沈洪辉+ 摘要 目的从生物力学角度探讨老年骨质疏松者对人工髋关节置换的影响及其治疗对策。方法 采集30具新鲜股骨标本， 安装，测定其生物力学性能变化。结果老年骨质疏松程度的增加，假体置换后股骨上方应变呈增加的趋势。随着骨密度的增 加，假体近端和远端微动随之减少，关节假体的初始稳定性显著增加。结论老年骨质疏松对人工关节假体的置换影响是明显 的。老年骨质疏松患者采用骨水泥固定假体其松动率可下降30％～40％，临床上要求假体安装须精确匹配，骨水泥调制合理、 厚度适中，以减少松动的发生率。 关键词生物力学；骨质疏松；髋假体 TheInfluenceof onTotal forthe Patients OsteoporosisHipArthroplastyAged Shen Central a1．DepartmentofOrthopaedics，theHospitalofJinshan Guoping，WangZkeng，LuoCongfeng，et hai，201500 Abstract To theinfluenceof ontotal forthe biomechanicalmethods． 0bjective osteoporosishiparthroplastyagedpeopleby study MethodsThebonemineral wasmeasuredat andthe trochantericwith density metaphyseal，femoralneck，wardtriangle great region DEXAin30freshcadavers．All weredividedintotwo andtreatedcementedornon—cemented osteoporoticsamples groups by prostheses， biomechanic wereexamined．ResultsThestrainbecameworseinthe respectively．The changes samples property withtheincreaseof of bonemineral micro—motiondecreasedatboththe and severity densityincreased，the proximal osteoporosis．When the distal the thushadabetterinitial Conclusion inthe hasobviousinfluenceon part，andprosthesis stability． Osteoporosisagedpeople of ratecanbedecreased30％～40％inthecemented withthenon—ce— stabilityhipprosthesis．Theloosening by prosthesis．co