全关节置换术中无骨水泥固定：影响骨整合的因素。

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-02-01 DOI:10.1016/j.jcot.2024.102871

Sravya P. Vajapey , Vivek M. Shah , Mengnai Li , Daniel M. Estok II

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引用次数: 0

摘要

•TJA无骨水泥固定的成功取决于多种因素，包括生物、机械、种植体、手术和材料特性。•与骨水泥固定相比，生物固定因其并发症发生率低且寿命长，已成为美国大多数原发性全髋关节置换术（THA）手术的主要固定方式。•无骨水泥固定在全膝关节置换术（TKA）和髋关节半置换术中尚未获得更广泛的接受，原因包括主体骨质量、植入物设计和手术技术。•了解a)不同生物材料的特性，b)不同长入和生长表面的骨-种植体界面特征，c)影响骨整合的各种因素可以导致：i)为个体患者适当选择种植体，从而增加免修复生存期，以及i)开发可以降低无菌性松动风险的新技术。

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查看原文本刊更多论文

Cementless fixation in total joint arthroplasty: Factors impacting osseointegration

•
The success of cementless fixation in TJA depends on a multitude of factors including biological, mechanical, implant, surgical, and material properties.
•
Biologic fixation has become the primary mode of fixation for the majority of primary total hip arthroplasty (THA) surgeries done today in the United States (US) due to its low complication rate and superior longevity compared to cemented fixation.
•
Cementless fixation has yet to gain wider acceptance in total knee arthroplasty (TKA) and hip hemiarthroplasty due to several factors including host bone quality, implant design, and surgical technique.
•
Understanding a) the properties of the different biomaterials, b) the bone-implant interface characteristics of the different ingrowth and ongrowth surfaces, and c) the various factors that affect osseointegration can lead to:
- i)
  appropriate choice of implants for individual patients with consequent increase in revision-free survival, and
- ii)
  the development of new techniques that can reduce the risk of aseptic loosening.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.