髋关节表面置换改良杯的生物力学评价
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A NEW TYPE STEM CUP FEMORAL HEAD PROSTHESIS AND IT'S BIOMECHANICAL EVALUATION
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    髋关节表面置换术远期的松动率比全髋关节置换术高,且头杯的松动率较臼杯为高。但髋关节表面置换术具备一些全髋关节假体置换术所没有的优点,如:能保留健康的股骨颈,且尚有全髋关节假体置换术的余地。我们设计了新型的三翼头杯和杆栓杯,简称TC和BC。其中心杆使头杯与残存股骨颈一体化,使假体与残存骨质成为完整受力体系,均匀分散杯下应力。实验采用压力应变值和最大破坏扭矩来评价新头杯与传统头杯的力学稳定性。结果显示,TC综合力学性能最佳,有希望为临床提供一个较理想的头杯。

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    Surface replacement of the hip possesses some features namely, removing only the diseased surfaces of the joint while preserving the normal structure and biomechanical function of the hip. Preservation of the femoral neck and head is beneficial in that the hip could be fused and easeier for revision to a conventional total hip arthroplasty. But it has a higher rate of long-term failure than Charley total hip prostheses. To better distribution the stress under the femoral component the new head cup system TC (Triwing head cup BC) was desighed, and BC (Post belt head cup).they have center post with a higher biomechincal stabilit as compared with WC(Wanger cup), The results demonstrated that the strain values of the femoral neck osseous part that fixed in TC as the smallest and the maximum destroed torque values of the specimens fixed in TC were significantly the biggest among the three groups fixed in three kinds of cups. The higher long-term survival rate for TC could be expected, and this a more ideal femoral head cup prosthesis provided for clinical use id possible of nealigation.

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夏霆,曹启迪,王前.髋关节表面置换改良杯的生物力学评价[J].医用生物力学,1997,12(3):152-155

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