[Biomechanical research progress of common acetabular reconstruction techniques for Crowe type â
¡ and â
¢ developmental dysplasia of the hip].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
; 37(3): 353-359, 2023 Mar 15.
Article
em Zh
| MEDLINE
| ID: mdl-36940996
ABSTRACT
Objective:
To summarize the characteristics and biomechanical research progress of common acetabular reconstruction techniques in patients with Crowe type â ¡ and â ¢ developmental dysplasia of the hip (DDH) undergoing total hip arthroplasty (THA), and provide references for selecting appropriate acetabular reconstruction techniques for clinical treatment of Crowe type â ¡ and â ¢ DDH.Methods:
The domestic and foreign relevant literature on biomechanics of acetabular reconstruction with Crowe type â ¡ and â ¢ DDH was reviewed, and the research progress was summarized.Results:
At present, there are many acetabular reconstruction techniques in Crowe type â ¡ and â ¢ DDH patients undergoing THA, with their own characteristics due to structural and biomechanical differences. The acetabular roof reconstruction technique enables the acetabular cup prosthesis to obtain satisfactory initial stability, increases the acetabular bone reserve, and provides a bone mass basis for the possible secondary revision. The medial protrusio technique (MPT) reduces the stress in the weight-bearing area of the hip joint and the wear of the prosthesis, and increases the service life of the prosthesis. Small acetabulum cup technique enables shallow small acetabulum to match suitable acetabulum cup to obtain ideal cup coverage, but small acetabulum cup also increases the stress per unit area of acetabulum cup, which is not conducive to the long-term effectiveness. The rotation center up-shifting technique increases the initial stability of the cup.Conclusion:
Currently, there is no detailed standard guidance for the selection of acetabular reconstruction in THA with Crowe type â ¡ and â ¢ DDH, and the appropriate acetabular reconstruction technique should be selected according to the different types of DDH.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
/
Displasia do Desenvolvimento do Quadril
/
Luxação Congênita de Quadril
/
Prótese de Quadril
Tipo de estudo:
Guideline
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Zh
Revista:
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
Ano de publicação:
2023
Tipo de documento:
Article