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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (05) : 692 -699. doi: 10.3877/cma.j.issn.1674-134X.2018.05.017

所属专题： 文献；

综述

人工髋关节股骨头－颈锥度侵蚀研究
姜晨轶1, 符培亮2,†(), 李晓华2   
  1. 1. 200233　上海交通大学附属第六人民医院骨科
    2. 200003　上海，第二军医大学长征医院关节外科
  • 收稿日期:2017-09-11 出版日期:2018-10-01
  • 通信作者: 符培亮

Review on trunnionosis in hip arthroplasty

Chenyi Jiang1, Peiliang Fu2,†(), Xiaohua Li2   

  1. 1. Department of Orthopaedic Surgery, Shanghai Sixth people’s Hospital, Shanghai Jiaotong University, Shanghai 200233, China
    2. Department of Joint Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
  • Received:2017-09-11 Published:2018-10-01
  • Corresponding author: Peiliang Fu
  • About author:
    Corresponding author: Fu Peiliang, Email:
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姜晨轶, 符培亮, 李晓华. 人工髋关节股骨头－颈锥度侵蚀研究[J]. 中华关节外科杂志(电子版), 2018, 12(05): 692-699.

Chenyi Jiang, Peiliang Fu, Xiaohua Li. Review on trunnionosis in hip arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(05): 692-699.

锥度侵蚀是指股骨头颈锥度界面的磨损和腐蚀，是目前逐渐被认识的全髋关节置换失败原因之一。近来有不少的报道锥度侵蚀与金对金假体一样引起局部组织不良反应，可能生物力学和生物电化学因素有关，锥度设计，假体材料，股骨头直径等是导致锥度侵蚀的可能机制，并可促进其发生局部组织不良反应。诊断，主要依靠金属离子分析以及影像学检查，而治疗则关注翻修手术是否能够保留股骨颈锥度，以及避免锥度侵蚀适宜的股骨头材料。本文对人工髋关节股骨头颈交界锥度侵蚀的病因、发病机制、危险因素、诊断以及治疗作一综述。

关键词: 腐蚀, 关节成形术，置换，髋, 髋假体, 长期不良反应, 假体失效

Trunnionosis is defined as fretting and corrosion of the femoral head-neck interface, and has recently been acknowledged as one of the growing cause of failed total hip arthroplasty. Recently there have been a number of reports about the potential for adverse local tissue reactions related to trunnionosis like metal on metal interface. Biomechanical and bioelectrochemical factors may play important roles. Taper design, material and the sizes of femoral head may have an impact on the development of trunnionosis leading to adverse local tissue reactions. Diagnosis of trunnionosis relies on metal ion analysis and proper radiologic investigation. Management focus on whether the taper should be retained and which the best material is to avoid trunnionosis. This review discussed the etiology, pathogenesis, risk factors, diagnosis and management of truninionsis at the head-neck junction.

Key words: Corrosion, Arthroplasty, replacement, hip, Hip Prosthesis, Long term adverse effects, Prosthesis failure
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