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Very low wear rate measured in a hip endoprosthesis removed after 38 years

机译:38年后摘除的髋关节假体的磨损率极低

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A Marino Zuco hip prosthesis implanted in 1963 in a 13–year–old girl with congenital hip dislocation was revised in 2001 for aseptic loosening. At the time of revision surgery, no granulomatous tissue reaction due to massive wear was observed. Considering the notable 38–year survival of this implant, we measured linear and volumetric wear of the acrylic ball head using a digital method to reconstruct the original spherical surface. Linear wear was 0.817 mm (21.5 μm/year) and volumetric wear was 28.937 mm3/year. These low wear rates are attribuited to the patient’s limited range of motion during the implant’s life time. Low prosthetic use may have contributed to the long implant survival time.
机译:1963年对一名13岁的先天性髋关节脱位的女孩植入了Marino Zuco髋关节假体,并于2001年进行了无菌松动的修订。在翻修手术时,未观察到由于大​​量磨损引起的肉芽肿组织反应。考虑到这种植入物的显着38年生存期,我们使用数字方法重建了原始的球形表面,测量了丙烯酸球头的线性和体积磨损。线性磨损为0.817毫米(21.5微米/年),体积磨损为28.937立方毫米/年。这些低磨损率归因于患者在植入物生命周期内的有限运动范围。假体使用率低可能有助于延长植入物的存活时间。

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