采用陶瓷-陶瓷(Delta陶瓷)与陶瓷-高交联聚-乙烯界面在全髋关节置换中的短期对比研究

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (559 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the short-term clinical efficacy between ceramic-on-ceramic and ceramic-on-highly cross-linked polyethylene bearing surfaces in total hiparthroplasty.Methods 65 patients(73 hips) who accepted the ceramic-on-ceramic andceramic-on-highly cross-linked polyethyleneprimarytotal hiparthroplasty (THA) from July 2015 to July 2016 were retrospectively analyzed.Patients were divided into 2 groups：ceramic-on-ceramic group(CC group) and ceramic-on-highly cross-linked polyethylene group(CP group).X-ray film was measured to observe osteolysisandprosthesis loosening，and to measurelinear wear rate and the abduction angle of the acetabular cup.Harris score were used to evaluatethe hip function.Results Sixty-onepatients(69 hips)were followed up.The mean follow-up period was 26 months(ranged 24～30 months).There was no significant differencein gender，age，body weight，and preoperative Harris score between the two groups (P＞0.05).The wear rate in CC group could not be measured due to the occlusion of the acetabular cup.The mean displacement value of the first two months in CP group was (0.08±0.011)mm.The mean displacement value from 2 to 24 months after surgery was (0.017±0.012)mm.The mean Harris score of CC group increased from (46.18±7.31)(preoperative) to (89.70±6.44)(postoperative) (P＜0.001).The mean Harris score of CP group increased from (43.92±8.94)(preoperative) to (92.61±6.23)(postoperative) (P＜0.001).There was no significant difference in Harris score between the two groups at the last follow-up (P＞0.05).No radiological signs of osteolysis orprosthesis loosening were detected at follow-up.Conclusion Both ceramic-on-ceramic(Delta ceramic)and ceramic-on-highly cross-linked polyethylene bearing surfaces have good effect in the total hip arthroplasty.There is no significant difference between the two prostheses in the early postoperative period.

Key words： total hiparthroplasty ceramic-on-ceramicbearing surfaces ceramic-on-highly cross-linked polyethylenebearing surfaces clinical efficacy

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Chen Yuxuan
	Zhang Zhiqiang
	Shi Junjun
	et al

Cite this article:

Chen Yuxuan,Zhang Zhiqiang,Shi Junjun, et al. Bearing Surfaces of Ceramic-on-Ceramic(Delta ceramic) Versusceramic-on-Highly Cross-Linked Polyethylene in Total Hiparthroplasty：A Short-term Comparative Study[J]. sygkzz, 2019, 25(3): 223-236.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I3/223

［1］Austin MS，Higuera CA，Rothman RH.Total hip arthroplasty at the rothman institute［J］.Hss J，2012，8(2)：146-150.
［2］Ilchmann T，Mjoberg B，Wingstrand H.Measurement accuracy in acetabular cup wear.Three retrospective methods compared with roentgenstereophotogrammetry［J］.J Arthroplasty， 1995，10(5)：636-642.
［3］Howard DP，Wall P DH，Fernandez M A，et al.Ceramic-on-ceramic bearing fractures in total hip arthroplasty：an analysis of data from the National Joint Registry［J］.Bone Joint J，2017，99 (8)：1012-1019.
［4］Jarrett CA，Ranawat AS，Bruzzone M，et al.Thesqueaking hip：a phenomenon ofceramic-on-ceramic total hip arthroplasty［J］.J Bone Joint Surg (Am)，91(6)：1344-1349.
［5］Stanat SJ，Capozzi JD.Squeaking in third-and fourth-generation ceramic-on-ceramic total hip arthroplasty：meta-analysis and systematic review［J］. J Arthroplasty，2012，27(3)：445-453.
［6］Sexton SA，Yeung E，Jackson MP，et al.The role of patient factors and implant position in squeaking of ceramic-on-ceramic total hip replacements［J］.J Bone Joint Surg(Br)，2011，93(4)：439-442.
［7］Owen D，Russell N，Chia A，et al.The natural history of ceramic-on-ceramic prosthetic hip squeak and its impact on patients.［J］.Eur J Orthop Surg Traumatol，2014，24(1)：57-61.
［8］Matar WY，Restrepo C，Parvizi J，et al.Revision hip arthroplasty for ceramic-on-ceramic squeaking hips does not compromise the results.［J］.J Arthroplasty，2010，25(6)：81-86.
［9］卢伟杰，金大地，李之琛，等.全髋关节置换术后髋臼假体外倾角的临床研究［J］.中国临床解剖学杂志，2012，30(2)：233-236.
［10］Lombardi AV，Berend KR，Seng BE，et al.Delta ceramic-on-alumina ceramic articulation in primary THA：prospective，randomized FDA-IDE study and retrieval analysis.［J］.Clin Orthop Relat Res，2010，468(2)：367-374.
［11］ D’Antonio JA，Capello WN，Naughton M.Ceramic bearings for total hip arthroplasty have high survivorship at 10 years ［J］.Clin Orthop Relat Res，2012，470(2)：373-381.
［12］Didier Hannouche，Amine Zaoui，Frédéric Zadegan，et al.Thirty years of experience with alumina-on-alumina bearings in total hip arthroplasty［J］.Int Orthop，2011，35(2)：207-213.
［13］Petit A，Catelas I，Antoniou J，et al.Differential apoptotic response of J774 macrophages to alumina and ultra-high-molecular-weight polyethylene particles［J］.J Orthop Res，2010，20(1)：9-15.
［14］Wroblewski BM，Siney PD，Fleming PA.Low-friction arthroplasty of the hip using alumina ceramic and cross-linked polyethylene.A ten-year follow-up report.［J］.J Bone Joint Surg (Br)，2005，87(9)：1220-1221.
［15］Muratoglu OK，Wannomae K，Christensen S，et al.Ex vivo wear ofconventional and cross-linked polyethylene acetabular liners［J］.Clin Orthop Relat Res，2005，438(438)：158-164.
［16］Tsukamoto M，Mori T，Ohnishi H，et al.Highly cross-linked polyethylene reduces osteolysis Incidence and wear-related reoperation rate in cementless total hip arthroplasty compared with conventional polyethylene at a mean 12-year follow-up［J］.J Arthroplasty，2017，32(12)：3771-3776.
［17］Rajpura A，Kendoff D，Board TN.The current state of bearing surfaces in total hip replacement.［J］.Bone Joint J， 2014，96 (2)：147-156.
［18］Ingram JH，Stone M，Fisher J，et al.The influence of molecular weight，crosslinking and counterface roughness on TNF-alpha production by macrophages in response to ultra high molecular weight polyethylene particles［J］.Biomaterials，2004，25(17)：3511-3522.
［19］Yan Y，Chen H，Feng J，et al.Poor performance of Enduron polyethylene liner in total hip arthroplasty：a minimum ten-year follow up and ultra-morphological analysis of wear particles.［J］. Int Orthop，2016，41(4)：1-8.