• 河北聯(lián)合大學附屬醫(yī)院骨科（河北唐山，063000）;

【摘 要】 目的 對多孔金屬鉭假體治療骨缺損的研究現(xiàn)狀作一綜述。 方法 廣泛查閱多孔金屬鉭假體特性
及其治療各種骨缺損的相關(guān)文獻，并進行綜述。 結(jié)果 多孔金屬鉭假體憑其特性，在某些類型的骨缺損治療中效果顯
著。 結(jié)論 多孔金屬鉭假體存在著自身優(yōu)缺點，在符合其適應(yīng)證的前提下使用可取得較好近期療效，為臨床骨缺損修
復提供了一種新參考，但遠期療效需進一步觀察。

引用本文： 路建,鄭小平,王志強. 多孔金屬鉭假體在骨缺損修復中的應(yīng)用. 中國修復重建外科雜志, 2012, 26(2): 244-247. doi: 復制

1. 梁衛(wèi)東, 王宏偉, 王志強. 不同骨組織工程支架材料的生物安全性及性能. 中國組織工程研究與臨床康復, 2010, 14(34): 6385-6388.
2. Bobyn JD, Poggie RA, Krygier JJ, et al. Clinical validation of a structural porous tantalum biomaterial for adult reconstruction. J Bone Joint Surg (Am), 2004, 86-A Suppl 2: 123-129.
3. Balla VK, Bodhak S, Bose S, et al. Porous tantalum structures for bone implants: Fabrication, mechanical and in vitro biological properties. Acta Biomater, 2010, 6(8): 3349-3359.
4. Davies JH, Laflamme GY, Delisle J, et al. Trabecular metal used for major bone loss in acetabular hip revision. J Arthroplasty, 2011, 28(8): 1245-1250.
5. Jafari SM, Bender B, Coyle C, et al. Do tantalum and titanium cups show similar results in revision hip arthroplasty ? Clin Orthop Relat Res, 2010, 468(2): 459-465.
6. Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplasty, 1994, 9(1): 33-44.
7. Unger AS, Lewis RJ, Gruen T. Evaluation of a porous tantalum uncemented acetabular cup in revision total hip arthroplasty: clinical and radiological results of 60 hips. J Arthroplasty, 2005, 20(8): 1002-1009.
8. Kim WY, Greidanus NV, Duncan CP, et al. Porous tantalum uncemented acetabular shells in revision total hip replacement: two to four year clinical and radiographic results. Hip Int, 2008, 18(1): 17-22.
9. Sporer SM, Paprosky WG. The use of a trabecular metal acetabular component and trabecular metal augment for severe acetabular defects. J Arthroplasty, 2006, 21(6 Suppl 2): 83-86.
10. Siegmeth A, Duncan CP, Masri BA, et al. Modular tantalum augments for acetabular defects in revision hip arthroplasty. Clin Orthop Relat Res, 2009, 467(1): 199-205.
11. Van Kleunen JP, Lee GC, Lementowski PW, et al. Acetabular revisions using trabecular metal cups and augments. Arthroplasty, 2009, 24(6 Suppl): 64-68.
12. Sporer SM, Paprosky WG. Acetabular revision using a trabecular metal acetabular component for severe acetabular bone loss associated with a pelvic discontinuity. J Arthroplasty, 2006, 21(6 Suppl 2): 87-90.
13. Howard JL, Kudera J, Lewallen DG, et al. Early results of the use of tantalum femoral cones for revision total knee arthroplasty. J Bone Joint Surg (Am), 2011, 93(5): 478-484.
14. Lachiewicz PF, Bolognesi MP, Henderson RA, et al. Can tantalum cones provide fixation in complex revision knee arthroplasty ? Clin Orthop Relat Res, 2011, 469(6): 1709-1715.
15. Meneghini RM, Lewallen DG, Hanssen AD. Use of porous tantalum metaphyseal cones for severe tibial bone loss during revision total knee replacement. J Bone Joint Surg (Am), 2008, 90(1): 78-84.
16. Radnay CS, Scuderi GR. Management of bone loss: augments, cones, offset stems. Clin Orthop Relat Res, 2006, (446): 83-92.
17. Nasser S, Poggie RA. Revision and salvage patellar arthoplasty using a porous tantalum implant. J Arthroplasty, 2004, 19(5): 562-572.
18. Holt GE, Christie MJ, Schwartz HS. Trabecular metal endoprosthetic limb salvage reconstruction of the lower limb. J Arthroplasty, 2009 24(7): 1079-1085.
19. Economopoulos K, Barker L, Beauchamp C, et al. Case report: reconstruction of the distal tibia with porous tantalum spacer after resection for giant cell tumor. Clin Orthop Relat Res, 2010, 468(6): 1697-1701.
20. Troyer J, Levine BR. Proximal tibia reconstruction with a porous tantalum cone in a patient with Charcot arthropathy. Orthopedics, 2009, 32(5): 358.
21. Dennis DA. The structural allograft composite in revision total knee arthroplasty. J Arthroplasty, 2002, 17(4 Suppl 1): 90-93.
22. Peersman G, Laskin R, Davis J, et al. Prolonged operative time correlates with increased infection rate after total knee arthroplasty. HSS J, 2006, 2(1): 70-72.
23. Buck BE, Malinin TI, Brown MD. Bone transplantation and human immunodeficiency virus. An estimate of risk of acquired immunodeficiency syndrome (AIDS). Clin Orthop Relat Res, 1989, (240): 129-136.
24. Meneghini RM, Lewallen DG, Hanssen AD. Use of porous tantalum metaphyseal cones for severe tibial bone loss during revision total knee replacement. Surgical technique. J Bone Joint Surg (Am), 2009, 91 Suppl 2 Pt 1: 131-138.
  1. 1. 梁衛(wèi)東, 王宏偉, 王志強. 不同骨組織工程支架材料的生物安全性及性能. 中國組織工程研究與臨床康復, 2010, 14(34): 6385-6388.
  2. 2. Bobyn JD, Poggie RA, Krygier JJ, et al. Clinical validation of a structural porous tantalum biomaterial for adult reconstruction. J Bone Joint Surg (Am), 2004, 86-A Suppl 2: 123-129.
  3. 3. Balla VK, Bodhak S, Bose S, et al. Porous tantalum structures for bone implants: Fabrication, mechanical and in vitro biological properties. Acta Biomater, 2010, 6(8): 3349-3359.
  4. 4. Davies JH, Laflamme GY, Delisle J, et al. Trabecular metal used for major bone loss in acetabular hip revision. J Arthroplasty, 2011, 28(8): 1245-1250.
  5. 5. Jafari SM, Bender B, Coyle C, et al. Do tantalum and titanium cups show similar results in revision hip arthroplasty ? Clin Orthop Relat Res, 2010, 468(2): 459-465.
  6. 6. Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplasty, 1994, 9(1): 33-44.
  7. 7. Unger AS, Lewis RJ, Gruen T. Evaluation of a porous tantalum uncemented acetabular cup in revision total hip arthroplasty: clinical and radiological results of 60 hips. J Arthroplasty, 2005, 20(8): 1002-1009.
  8. 8. Kim WY, Greidanus NV, Duncan CP, et al. Porous tantalum uncemented acetabular shells in revision total hip replacement: two to four year clinical and radiographic results. Hip Int, 2008, 18(1): 17-22.
  9. 9. Sporer SM, Paprosky WG. The use of a trabecular metal acetabular component and trabecular metal augment for severe acetabular defects. J Arthroplasty, 2006, 21(6 Suppl 2): 83-86.
  10. 10. Siegmeth A, Duncan CP, Masri BA, et al. Modular tantalum augments for acetabular defects in revision hip arthroplasty. Clin Orthop Relat Res, 2009, 467(1): 199-205.
  11. 11. Van Kleunen JP, Lee GC, Lementowski PW, et al. Acetabular revisions using trabecular metal cups and augments. Arthroplasty, 2009, 24(6 Suppl): 64-68.
  12. 12. Sporer SM, Paprosky WG. Acetabular revision using a trabecular metal acetabular component for severe acetabular bone loss associated with a pelvic discontinuity. J Arthroplasty, 2006, 21(6 Suppl 2): 87-90.
  13. 13. Howard JL, Kudera J, Lewallen DG, et al. Early results of the use of tantalum femoral cones for revision total knee arthroplasty. J Bone Joint Surg (Am), 2011, 93(5): 478-484.
  14. 14. Lachiewicz PF, Bolognesi MP, Henderson RA, et al. Can tantalum cones provide fixation in complex revision knee arthroplasty ? Clin Orthop Relat Res, 2011, 469(6): 1709-1715.
  15. 15. Meneghini RM, Lewallen DG, Hanssen AD. Use of porous tantalum metaphyseal cones for severe tibial bone loss during revision total knee replacement. J Bone Joint Surg (Am), 2008, 90(1): 78-84.
  16. 16. Radnay CS, Scuderi GR. Management of bone loss: augments, cones, offset stems. Clin Orthop Relat Res, 2006, (446): 83-92.
  17. 17. Nasser S, Poggie RA. Revision and salvage patellar arthoplasty using a porous tantalum implant. J Arthroplasty, 2004, 19(5): 562-572.
  18. 18. Holt GE, Christie MJ, Schwartz HS. Trabecular metal endoprosthetic limb salvage reconstruction of the lower limb. J Arthroplasty, 2009 24(7): 1079-1085.
  19. 19. Economopoulos K, Barker L, Beauchamp C, et al. Case report: reconstruction of the distal tibia with porous tantalum spacer after resection for giant cell tumor. Clin Orthop Relat Res, 2010, 468(6): 1697-1701.
  20. 20. Troyer J, Levine BR. Proximal tibia reconstruction with a porous tantalum cone in a patient with Charcot arthropathy. Orthopedics, 2009, 32(5): 358.
  21. 21. Dennis DA. The structural allograft composite in revision total knee arthroplasty. J Arthroplasty, 2002, 17(4 Suppl 1): 90-93.
  22. 22. Peersman G, Laskin R, Davis J, et al. Prolonged operative time correlates with increased infection rate after total knee arthroplasty. HSS J, 2006, 2(1): 70-72.
  23. 23. Buck BE, Malinin TI, Brown MD. Bone transplantation and human immunodeficiency virus. An estimate of risk of acquired immunodeficiency syndrome (AIDS). Clin Orthop Relat Res, 1989, (240): 129-136.
  24. 24. Meneghini RM, Lewallen DG, Hanssen AD. Use of porous tantalum metaphyseal cones for severe tibial bone loss during revision total knee replacement. Surgical technique. J Bone Joint Surg (Am), 2009, 91 Suppl 2 Pt 1: 131-138.