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At 12–15 years, Charnley reported continuous radiolucent demarcation around cemented cups in 14% of patients.40 The failure rate was greatest in young patients, and Barrack and colleagues reported 44% loosening of cemented sockets at 12 years in individuals younger than 50 years.54 Cementless acetabular cups are hemispherical in shape and most are entirely porous-coated for bone ingrowth.

术后12-15年时,Charnley在14%患者中发现骨水泥髋臼杯周边存在连续的透亮线。年轻患者中假体失败率最高,Barrack报道为小于50岁的患者中术后12年时44%发生骨水泥套松动。非骨水泥髋臼杯为半球型,大部分全层喷涂多孔表面以促进骨长入。

Conclusion]Good results can be obtained in hips with acetabular protrusion after reconstructed with autogeneous or allogeneous bone grafting and total hip arthroplasty.

结论]应用自体股骨头骨或异体颗粒骨移植填充髋臼连系多孔生物型髋臼假体,治疗Otto's病,可获得较好的疗效,移植骨可与宿主骨很好地连系在一路。

In patients with a large superior segmental bone deficiency, the resulting acetabular recess is elliptical rather than hemispherical, and a bilobed or oblong implant can be used instead of a large structural graft or excessiely high placement of a hemispherical component Fig.

髋臼上方有大块骨缺损的病人,其髋臼窝变为椭圆形而非半球形,因此可用双叶形或椭圆形假体替代大块结构性骨移植,或在高位植入半球形假体(图7-40,A)。

Ten adult mixed breed dogs without significant individual difference were made transverse fracture at bilateral iliopectineal crest 1.5cm above the dome of acetabulum, which were fixed with ATMF'S or steel plate respectively. The animals were sacrificed and specimens were procured at 2, 4, 6, 8 and 12 weeks after operation. Samples from the fracture gaps were investigated by histology of HE and Masson staining, image pattern analysis of new bone formation.

方法] 选用10只成年杂种家犬,双侧髋臼臼顶上方1.5cm处横形截骨,分别采用ATMFS(骨盆髋臼三维记忆内固定系统)前柱固定器和5孔重建钢板内固定,于术后2、4、6、8、12周处死动物取材,行HE染色、Masson三色法染色组织学检查,图像分析新骨形成积分光密度值,研究不同应力作用模式下的骨盆骨折愈合情况。

Method]Ten adult mixed breed dogs without significant individual difference were made transverse fracture at bilateral iliopectineal crest 1.5 cm above the dome of acetabulum, which were fixed with ATMFS or steel plate respectively. The animals were sacrificed and specimens were procured at 2,4,6,8 and 12 weeks after operation.Samples from the fracture gaps were investigated by histology of HE and Masson staining,image pattern analysis of new bone formation.

方法]选用10只成年杂种家犬,双侧髋臼臼顶上方1.5 cm处横形截骨,分别采用ATMFS(骨盆髋臼三维记忆内固定系统)前柱固定器和5孔重建钢板内固定,于术后2、4、6、8、12周处死动物取材,行HE染色、Masson三色法染色组织学检查,图像分析新骨形成积分光密度值,研究不同应力作用模式下的骨盆骨折愈合情况。

Method]Ten adult mixed breed dogs without significant individual difference were made transverse fracture at bilateral iliopectineal crest 1.5 cm above the dome of acetabulum, which were fixed with ATMFS or steel plate respectively. The animals were sacrificed and specimens were procured at 2,4,6,8 and 12 weeks after operation.

]选用10只成年杂种家犬,双侧髋臼臼顶上方1.5 cm处横形截骨,分别采用ATMFS(骨盆髋臼三维记忆内固定系统)前柱固定器和5孔重建钢板内固定,于术后2、4、6、8、12周处死动物取材,行HE染色、Masson三色法染色组织学检查,图像分析新骨形成积分光密度值,研究不同应力作用模式下的骨盆骨折愈合情况。

[Objective]To explore the effect of continuous physiological osteogenic stress on the bone healing of canine iliopectineal crest.[Method]Ten adult mixed breed dogs without significant individual difference were made transverse fracture at bilateral iliopectineal crest 1.5 cm above the dome of acetabulum,which were fixed with ATMFS or steel plate respectively. The animals were sacrificed and specimens were procured at 2,4,6,8 and 12 weeks after operation.Samples from the fracture gaps were investigated by histology of HE and Masson staining,image pattern analysis of new bone formation.

探讨持续顺应生理力线的压应力对犬骨盆弓状线部骨折愈合的影响[方法]选用10只成年杂家犬,双侧髋臼臼顶上方1.5 cm处横形截骨,分别采用ATMFS(骨盆髋臼三维记忆内固定系统)柱固定器和5孔重建钢板内固定,于术后2、4、6、8、12周处死动物取材,行HE染色、Masson三色法染色组织学检查,图像分析新骨形成积分光密度值,研究不同应力作用模式下的骨盆骨折愈合情况。

The different features of the osteolysis were compared radiographically.

方法对8例髋臼松动患者通过术前X线的评估,比较骨水泥臼和非骨水泥臼骨溶解的不同特点。

Methods The osteotomy was performed along margin of acetabulum with acetabular wholism rotary to improve acetabulum to cover head of femur.

沿髋臼缘截骨,通过髋臼的整体旋转来加大髋臼对股骨头的包容。

Failures of cementless cups include accelerated polyethylene wear, malfunction of the locking mechanism of the polyethylene liner in the metal-backed shell,59–62 and extensive periacetabular osteolysis.63 Screw holes in the shell enable debris to access the periacetabular cancellous bone, a further extension of the effective joint space.

非骨水泥型髋臼杯的失败原因包括聚乙烯磨损加速,金属杯中聚乙烯内衬锁定机制失效和广泛的髋臼周边骨溶解。金属杯中的螺钉孔为碎屑进入髋臼周围松质骨提供了通道和更广的有效关节容积。

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