髋关节置换（Hip replacement）.docVIP

髋关节置换（Hip replacement） The methods and characteristics of artificial hip replacement With the development of surgical technique, prosthesis design and prosthesis material, the long-term effect of artificial joint will be the fixation method of artificial joint. At present, artificial joint fixation, bone cement fixation and non bone cement biological fixation are two broad categories. The former is the installation of bone cement between the prosthesis and the bone bed, forming two interfaces of prosthesis, bone cement and bone cement bone; the latter is a direct contact between the prosthesis and the bone bed, and only the bone prosthesis has an interface. Bone cement is Charnley low wear an organic part of the artificial joint, but bone cement application early, often appear artificial joint loosening and osteolysis, bone cement is considered arch-criminal, called bone cement disease, which makes biological fixation to development, seems to have replaced the trend of bone cement fixation. But so far, no definite long-term follow-up results show that biological fixation is superior to bone cement fixation, especially hip prosthesis. Bone cement can be said to be one of the most commonly used or most commonly used methods. The artificial hip joint is the representative of artificial joint. Therefore, this article focuses on the technical problems of bone cement in the application of total hip joint. Bone cement is not an adhesive, and its fixation on the prosthesis is achieved by block filling and microscopic mechanical interlocking. Its remarkable feature is that the prosthesis can be instantly fixed, with other advantages (1): (1) the cancellous bone can withstand the deformation force because of the penetration of the cement into the trabecular bone; (2) the stress distribution between the prosthesis and bone is even; (3) increasing the stress conduction range of prosthesis; (4) the bad stress is reduced, and the stress concentration is avoided; (5) a certain dev