• 1南方醫(yī)科大學第三附屬醫(yī)院骨科（廣州，510630）;;
  • 2 廣州醫(yī)學院第一附屬醫(yī)院骨科;

目的 評估骨水泥聚乙烯內襯技術應用于全髖內襯翻修時的生物力學強度。 方法 25 對金屬髖臼及聚乙烯內襯假體隨機分為5 組（n=5），以標準鎖定裝置為對照（A 組），其余4 組應用骨水泥聚乙烯內襯技術固定聚乙烯內襯，分為無鋼珠聚乙烯內襯與金屬髖臼0° 交角組（B 組）、帶鋼珠聚乙烯內襯與金屬髖臼0° 交角組（C 組）、帶鋼珠聚乙烯內襯與金屬髖臼10° 交角組（D 組）、帶鋼珠聚乙烯內襯與金屬髖臼20° 交角組（E 組）。通過杠桿試驗模擬體內內襯失敗情況，測定各組抗杠桿力強度。 結果 A ～ E 組抗杠桿力分別為（626.68 ± 206.12）、（915.04 ± 197.49）、（449.02 ± 119.78）、（814.68 ± 53.89）、（1 033.05 ± 226.44）N，組間比較差異有統(tǒng)計學意義（F=8.989，P=0.000）。其中B、E 組抗杠桿力大于A 組，差異有統(tǒng)計學意義（P  lt; 0.05）；C、D 組抗杠桿力與A 組比較，差異無統(tǒng)計學意義（P  gt; 0.05）。 結論 用骨水泥聚乙烯內襯技術將內襯與金屬髖臼以≤ 20° 交角固定于金屬髖臼內，能提供足夠的初始固定強度。

引用本文： 盧偉杰 ,金大地,李之琛,陳藝,陳東峰,余楠生. 骨水泥聚乙烯內襯技術在全髖內襯翻修中的生物力學研究. 中國修復重建外科雜志, 2012, 26(4): 437-440. doi: 復制

1. Haft GF, Heiner AD, Dorr LD, et al. A biomechanical analysis of polyethylene liner cementation into a fixed metal acetabular shell. J Bone Joint Surg (Am), 2003, 85-A(6): 1100-1110.
2. Hofmann AA, Prince EJ, Drake FT, et al. Cementation of a polyethylene liner into a metal acetabular shell: a biomechanical study. J Arthroplasty, 2009, 24(5): 775-782.
3. Meldrum RD, Hollis JM. The strength of a cement acetabular locking mechanism. J Arthroplasty, 2001, 16(6): 748-752.
4. Bonner KF, Delanois RE, Harbach G. Cementation of a polyethylene liner into a metal shell. Factors related to mechanical stability. J Bone Joint Surg (Am), 2002, 84-A(9): 1587-1593.
5. Kurtz S, Hozack W, Ray R. Biomechanical analysis of cementing an acetabular liner in a metal shell for revision total hip arthroplasty. Presented at the Annual Meeting of the Orthopaedic Research Society, San Francisco, CA, 2001.
6. Mauerhan DR, Peindl RD, Coley ER, et al. Cementation of polyethylene liners into well-fixed metal shells at the time of revision total hip arthroplasty. J Arthroplasty, 2008, 23(6): 874-878.
7. Ebramzadeh E, Beaulé PE, Culwell JL, et al. Fixation strength of an all-metal acetabular component cemented into an acetabular shell: a biomechanical analysis. J Arthroplasty, 2004, 19(8 Suppl 3): 45-49.
8. Haft GF, Heiner AD, Callaghan JJ, et al. Polyethylene liner cementation into fixed acetabular shells. J Arthroplasty, 2002, 17(4 Suppl 1): 167-170.
9. Wang JP, Chen WM, Chen CF, et al. Cementation of cross-linked polyethylene liner into well-fixed acetabular shells: mean 6-years follow-up study. J Arthroplasty, 2010, 25(3): 420-424.
10. Callaghan JJ, Parvizi J, Novak CC, et al. A constrained liner cemented into a secure cementless acetabular shell. J Bone Joint Surg (Am), 2004, 86-A(10): 2206-2211.
11. Terefenko KM, Sychterz CJ, Orishimo K, et al. Polyethylene liner exchange for excessive wear and osteolysis. J Arthroplasty, 2002, 17(6): 798-804.
12. Beaulé PE, Ebramzadeh E, Le Duff M, et al. Cementing a liner into a stable cementless acetabular shell: the double-socket technique. J Bone Joint Surg (Am), 2004, 86-A(5): 929-934.
13. 劉志宏, 馮建民, 楊慶銘. 單純聚乙烯內襯更換在髖關節(jié)翻修手術中的應用. 中華關節(jié)外科雜志 (電子版), 2009, 3(5): 547-551.
14. Springer BD, Hanssen AD, Lewallen DG. Cementation of an acetabular liner into a well-fixed acetabular shell during revision total hip arthroplasty. J Arthroplasty, 2003, 18(7 Suppl 1): 126-130.
15. Yoon TR, Seon JK, Song EK, et al. Cementation of a metal-inlay polyethylene liner into a stable metal shell in revision total hip arthroplasty. J Arthroplasty, 2005, 20(5): 652-657.
16. Jiranek WA. Acetabular liner fixation by cement. Clin Orthop Relat Res, 2003, (417): 217-223.
17. LaPorte DM, Mont MA, Pierre-Jacques H, et al. Technique for acetabular liner revision in a nonmodular metal-backed component. J Arthroplasty, 1998, 13(3): 348-350.
18. Delanois RE, Seyler TM, Essner A, et al. Cementation of a polyethylene liner into a metal shell. J Arthroplasty, 2007, 22(5): 732-737.
19. Blom AW, Astle L, Loveridge J, et al. Revision of an acetabular liner has a high risk of dislocation. J Bone Joint Surg (Br), 2005, 87(12): 1636-1638.
20. Lie SA, Hallan G, Furnes O, et al. Isolated acetabular liner exchange compared with complete acetabular components revision in revision of primary uncemented acetabular components: a study of 1649 revisions from the Norwegian Arthroplasty Register. J Bone Joint Surg (Br), 2007, 89(5): 591-594.
  1. 1. Haft GF, Heiner AD, Dorr LD, et al. A biomechanical analysis of polyethylene liner cementation into a fixed metal acetabular shell. J Bone Joint Surg (Am), 2003, 85-A(6): 1100-1110.
  2. 2. Hofmann AA, Prince EJ, Drake FT, et al. Cementation of a polyethylene liner into a metal acetabular shell: a biomechanical study. J Arthroplasty, 2009, 24(5): 775-782.
  3. 3. Meldrum RD, Hollis JM. The strength of a cement acetabular locking mechanism. J Arthroplasty, 2001, 16(6): 748-752.
  4. 4. Bonner KF, Delanois RE, Harbach G. Cementation of a polyethylene liner into a metal shell. Factors related to mechanical stability. J Bone Joint Surg (Am), 2002, 84-A(9): 1587-1593.
  5. 5. Kurtz S, Hozack W, Ray R. Biomechanical analysis of cementing an acetabular liner in a metal shell for revision total hip arthroplasty. Presented at the Annual Meeting of the Orthopaedic Research Society, San Francisco, CA, 2001.
  6. 6. Mauerhan DR, Peindl RD, Coley ER, et al. Cementation of polyethylene liners into well-fixed metal shells at the time of revision total hip arthroplasty. J Arthroplasty, 2008, 23(6): 874-878.
  7. 7. Ebramzadeh E, Beaulé PE, Culwell JL, et al. Fixation strength of an all-metal acetabular component cemented into an acetabular shell: a biomechanical analysis. J Arthroplasty, 2004, 19(8 Suppl 3): 45-49.
  8. 8. Haft GF, Heiner AD, Callaghan JJ, et al. Polyethylene liner cementation into fixed acetabular shells. J Arthroplasty, 2002, 17(4 Suppl 1): 167-170.
  9. 9. Wang JP, Chen WM, Chen CF, et al. Cementation of cross-linked polyethylene liner into well-fixed acetabular shells: mean 6-years follow-up study. J Arthroplasty, 2010, 25(3): 420-424.
  10. 10. Callaghan JJ, Parvizi J, Novak CC, et al. A constrained liner cemented into a secure cementless acetabular shell. J Bone Joint Surg (Am), 2004, 86-A(10): 2206-2211.
  11. 11. Terefenko KM, Sychterz CJ, Orishimo K, et al. Polyethylene liner exchange for excessive wear and osteolysis. J Arthroplasty, 2002, 17(6): 798-804.
  12. 12. Beaulé PE, Ebramzadeh E, Le Duff M, et al. Cementing a liner into a stable cementless acetabular shell: the double-socket technique. J Bone Joint Surg (Am), 2004, 86-A(5): 929-934.
  13. 13. 劉志宏, 馮建民, 楊慶銘. 單純聚乙烯內襯更換在髖關節(jié)翻修手術中的應用. 中華關節(jié)外科雜志 (電子版), 2009, 3(5): 547-551.
  14. 14. Springer BD, Hanssen AD, Lewallen DG. Cementation of an acetabular liner into a well-fixed acetabular shell during revision total hip arthroplasty. J Arthroplasty, 2003, 18(7 Suppl 1): 126-130.
  15. 15. Yoon TR, Seon JK, Song EK, et al. Cementation of a metal-inlay polyethylene liner into a stable metal shell in revision total hip arthroplasty. J Arthroplasty, 2005, 20(5): 652-657.
  16. 16. Jiranek WA. Acetabular liner fixation by cement. Clin Orthop Relat Res, 2003, (417): 217-223.
  17. 17. LaPorte DM, Mont MA, Pierre-Jacques H, et al. Technique for acetabular liner revision in a nonmodular metal-backed component. J Arthroplasty, 1998, 13(3): 348-350.
  18. 18. Delanois RE, Seyler TM, Essner A, et al. Cementation of a polyethylene liner into a metal shell. J Arthroplasty, 2007, 22(5): 732-737.
  19. 19. Blom AW, Astle L, Loveridge J, et al. Revision of an acetabular liner has a high risk of dislocation. J Bone Joint Surg (Br), 2005, 87(12): 1636-1638.
  20. 20. Lie SA, Hallan G, Furnes O, et al. Isolated acetabular liner exchange compared with complete acetabular components revision in revision of primary uncemented acetabular components: a study of 1649 revisions from the Norwegian Arthroplasty Register. J Bone Joint Surg (Br), 2007, 89(5): 591-594.