刘军;陈慧;甄平;周胜虎;田琦;李旭升;

• 1:兰州军区总医院全军骨科中心关节外科

摘要(Abstract)：

人工关节置换术经过近百年的发展,现已成为矫形外科/运动医学领域成熟的治疗技术,在美国以每年超过45万~60万的置换数量呈阶梯式递增。如何提高人工关节假体寿命、减轻术后并发症,是临床工作者及患者共同的期盼。既往学者关注重点多在于人工关节假体感染性/无菌性松动,近年来人工关节的摩擦学研究越来越受到重视。影响人工关节假体使用寿命的关键因素之一在于假体各组成部分之间的磨损问题,特别是由于接触表面的磨损造成表层的损耗进而导致整体/局部力学的改变。然而,假体生物摩擦学是一个复杂的综合性问题,本文将分别对膝/髋关节的摩擦学、假体材料特性、润滑、磨损变化等方面的研究现状和进展加以探讨,以期为临床和基础工作者提供有益帮助。

关键词(KeyWords)： 关节置换术;人工关节假体;生物摩擦学;润滑;磨损

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金资助项目(编号:81371983);; 甘肃省科技支撑计划(编号:S04671);; 甘肃省青年科技基金计划项目(编号:1606RJYA300);; 甘肃省自然科学基金项目(编号:1606RJZA208)

作者(Author): 刘军;陈慧;甄平;周胜虎;田琦;李旭升;

Email:

DOI:

参考文献(References)：

• [1]Wang WZ,Wang FC,Jin ZM,et al.Numerical lubrication simulation of metal-on-metal artificial hip joint replacements:ball-insocket model and ball-on-plane model[J].P I Mech Eng J-J Eng,2009,223:(7)1073-1082.
• [2]Schwenke T,Wimmer MA.Cross-shear in metal-on-polyethylene articulation of orthopaedic implants and its relationship to wear[J].Wear,2013,301(1-2):168-174.
• [3]Korduba LA,Wang A.The effect of cross-shear on the wear of virgin and highly-crosslinked polyethylene[J].Wear,2011,271(9):1220-1223.
• [4]Ng ZY,Nawaz I.Computer-designed PEEK implants:a peek into the future of cranioplasty[J].J Craniofac Surg,2014,25(1):55-58.
• [5]Reynolds SE,Malkani AL,Ramakrishnan R,et al.Wear analysis of first-generation highly cross-linked polyethylene in primary total hip arthroplasty:an average 9-year follow-up[J].J Arthroplasty,2012,27(6):1064-1068.
• [6]Jenabzadeh AR,Pearce SJ,Walter WL.Total hip replacement:ceramic-on-ceramic[J].Semin Arthroplasty,2012,23(4):232-240.
• [7]Meng QE,Liu F,Fisher J,et al.Transient elastohydrodynamic lubrication analysis of a novel metal-on-metal hip prosthesis with anon-spherical femoral bearing surface[J].Proc Inst Mech Eng H,2011,225(1):25-37.
• [8]Pezzotti G,Yamamoto K.Artificial hip joints:the biomaterials challenge[J].J Mech Behav Biomed Mater,2014,31(3):3-20.
• [9]Taeger G,Podleska LE,Schmidt B,et al.Comparison of diamondlike-carbon and alumina-oxide articulating with polyethylene in total hip arthroplasty[J].Materialwiss Werksttech,2003,34(12):1094-100.
• [10]Xia Z,Kwon YM,Mehmood S,et al.Characterization of metalwear nanoparticles in pseudotumor following metal-on-metal hip resurfacing[J].Nanomedicine,2011,7(6):674-681.
• [11]Bernasek T,Stahl J,Pupello D.Pyrolytic carbon endoprosthetic replacement for osteonecrosis and femoral fracture of the hip:a pilot study[J].Clin Orthop,2009,467(7):1826-1832.
• [12]D’Antonio JA,Capello WN,Ramakrishnan R.Second-generation annealed highly cross-linked polyethylene exhibits low wear[J].Clin Orthop,2012,470(6):1696-1704.
• [13]Lombardi AV Jr.Case studies in management of THA failure secondary to taper corrosion,modular junctions and metal-on-metal bearings[J].J Arthroplasty,2014,29(4):663-667.
• [14]East RH,Briscoe A,Unsworth A.Wear of PEEK-OPTIMA and PEEKOPTIMA-wear performance articulating against highly cross-linked polyethylene[J].Proc IMech E Part HJ Engin Med,2015,229(3):187-193.
• [15]Fan J,Myant CW,Underwood R,et al.Inlet protein aggregation:a new mechanism for lubricating film formation with model synovial fluids[J].Proc Inst Mech Eng H,2011,225(7):696-709.
• [16]Pan Y,Wang J,Ding G.Research on surface modification and biotribological properties of artificial joint[J].Zhong Nan Da Xue Xue Bao Yi Xue Ban,2012,37(6):642-648.
• [17]Di Puccio F,Mattei L.Biotribology of artificial hip joints[J].World J Orthop,2015,6(1):77-94.
• [18]Sonntag R,Reinders J,Kretzer JP.What’s next?Alternative materials for articulation in total joint replacement[J].Acta Biomaterialia,2012,8(7):2434-2441.
• [19]Myant C,Cann P.In contact observation of model synovial fluid lubricating mechanisms[J].Tribol Int,2013,63(1):97-104.
• [20]Takamura KM,Amstutz HC,Lu Z,et al.Wear analysis of 39 conserve plus metal-on-metal hip resurfacing retrievals[J].J Arthroplasty,2014,29(2):410-415.
• [21]Saikko V,Ahlroos T,Revitzer H,et al.The effect of acetabular cup position on wear of a large-diameter metal-on-metal prosthesis studied with a hip joint simulator[J].Tribol Int,2013,60(1):70-76.
• [22]Lee JH,Lee BW,Lee BJ,et al.Midterm results of primary total hip arthroplasty using highly cross-linked polyethylene:minimum 7-year follow-up study[J].J Arthroplasty,2011,26(7):1014-1019.
• [23]Mattei L,Di Puccio F,Ciulli E.A comparative study on wear laws for soft-on-hard hip implants using a mathematical wear model[J].Tribol Int,2013,63(1):66-77.
• [24]Bragdon C,Burke D,Ekeledo A,et al.Seven to ten year follow-up of highly cross-linked polyethylene liners in total hip arthroplasty[J].J Bone Joint Surg Br,2010,92-B:511.
• [25]Hou Y,Chen C,Zhou S,et al.Fabrication of an integrated cartilage/bone joint prosthesis and its potential application in joint replacement[J].J Mech Behav Biomed Mater,2016,59(6):265-271.
• [26]Lopresti M,Daolio PA,Rancati JM,et al.Rehabilitation of a patient receiving a large-resection hip prosthesis because of a phosphaturic mesenchymal tumor[J].Clin Pract,2015,5(4):814.
• [27]Ng ZY,Nawaz I.Computer-designed PEEK implants:a peek into the future of cranioplasty[J].J Craniofac Surg,2014,25(1):55-58.
• [28]Diomidis N,Mischler S,More NS,et al.Tribo-electrochemical characterization of metallic biomaterials for total joint replacement[J].Acta Biomater,2012,8(2):852-859.
• [29]Mattei L,Di Puccio F.Wear simulation of metal-on-metal hip replacements with frictional contact[J].J Tribol,2013,135(1):1-11.
• [30]Drewniak EI,Jay GD,Fleming BC,et al.Comparison of two methods for calculating the frictional properties of articular cartilage using a simple pendulum and intact mouse knee joints[J].J Biomech,2009,42(12):1996-1999.
• [31]Grainger DW,van der Mei HC,Jutte PC,et al.Critical factors in the translation of improved antimicrobial strategies for medical implants and devices[J].Biomaterials,2013,34(37):9237-9243.