• 蘇州大學(xué)附屬第一醫(yī)院骨科（江蘇蘇州，215006）;

目的總結(jié)S-ROM（Sivash-range of motion femoral modular stem）假體設(shè)計及生物力學(xué)特點，以及在髖關(guān)節(jié)發(fā)育不良（developmental dysplasia of hip，DDH）的關(guān)節(jié)置換及髖關(guān)節(jié)翻修術(shù)中的應(yīng)用進展。 方法廣泛查閱近年S-ROM假體的相關(guān)文獻，并進行綜合分析。 結(jié)果S-ROM假體利用其組配性可以在股骨近端與遠端同時達到緊密壓配，適用于存在股骨解剖差異以及需行股骨截骨矯形的DDH人工全髖關(guān)節(jié)置換，以及伴骨缺損的髖關(guān)節(jié)翻修。 結(jié)論S-ROM假體組配結(jié)合部增大了假體折斷及產(chǎn)生金屬磨屑的可能，其遠期療效需進一步隨訪明確。

引用本文： 趙眾首,孫俊英. 組配式S-ROM假體在髖關(guān)節(jié)發(fā)育不良及髖關(guān)節(jié)翻修術(shù)中的應(yīng)用進展. 中國修復(fù)重建外科雜志, 2012, 26(9): 1054-1057. doi: 復(fù)制

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1. Dunbar MJ. The proximal modular neck in THA: a bridge too far: affirms. Orthopedics, 2010, 33(9): 640.
2. Noble PC, Kamaric E, Sugano N, et al. Three-dimensional shape of the dysplastic femur: implications for THR. Clin Orthop Relat Res, 2003, (417): 27-40.
3. Argenson JN, Flecher X, Parratte S, et al. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res, 2007, (465): 40-45.
4. Paavilainen T, Hoikka V, Paavolainen P. Cementless total hip arthroplasty for congenitally dislocated or dysplastic hips. Technique for replacement with a straight femoral component. Clin Orthop Relat Res, 1993, (297): 71-81.
5. Zadeh HG, Hua J, Walker PS, et al. Uncemented total hip arthroplasty with subtrochanteric derotational osteotomy for severe femoral anteversion. J Arthroplasty, 1999, 14(6): 682-688.
6. Gorski JM. Modular noncemented total hip arthroplasty for congenital dislocation of the hip. Case report and design rationale. Clin Orthop Relat Res, 1988, (228): 110-116.
7. Gosens T, van Langelaan EJ, Tonino AJ. Cementless mallory-head HA-coated hip arthroplasty for osteoarthritis in hip dysplasia. J Arthroplasty, 2003, 18(4): 401-410.
8. Cameron HU. Management of femoral deformities during the total hip replacement. Orthopedics, 1996, 19(9): 745-746.
9. Paavilainen T, Hoikka V, Solonen KA. Cementless total replacement for severely dysplastic or dislocated hips. J Bone Joint Surg (Br), 1990, 72(2): 205-211.
10. Becker DA, Gustilo RB. Double-chevron subtrochanteric shortening derotational femoral osteotomy combined with total hip arthroplasty for the treatment of complete congenital dislocation of the hip in the adult. Preliminary report and description of a new surgical technique. J Arthroplasty, 1995, 10(3): 313-318.
11. Huo MH, Zatorski LE, Keggi KJ. Oblique femoral osteotomy in cementless total hip arthroplasty. Prospective consecutive series with a 3-year minimum follow-up period. J Arthroplasty, 1995, 10(3): 319-327.
12. Yasgur DJ, Stuchin SA, Adler EM, et al. Subtrochanteric femoral shortening osteotomy in total hip arthroplasty for high-riding developmental dislocation of the hip. J Arthroplasty, 1997, 12(8): 880-888.
13. Reikeraas O, Lereim P, Gabor I, et al. Femoral shortening in total arthroplasty for completely dislocated hips: 3-7 year results in 25 cases. Acta Orthop Scand, 1996, 67(1): 33-36.
14. Bruce WJ, Rizkallah SM, Kwon YM, et al. A new technique of subtrochanteric shortening in total hip arthroplasty: surgical technique and results of 9 cases. J Arthroplasty, 2000, 15(5): 617-626.
15. Masonis JL, Patel JV, Miu A, et al. Subtrochanteric shortening and derotational osteotomy in primary total hip arthroplasty for patients with severe hip dysplasia: 5-year follow-up. J Arthroplasty, 2003, 18(3 Suppl 1): 68-73.
16. Onodera S, Majima T, Ito H, et al. Cementless total hip arthroplasty using the modular S-ROM prosthesis combined with corrective proximal femoral osteotomy. J Arthroplasty, 2006, 21(5): 664-669.
17. Dallari D, Pignatti G, Stagni C, et al. Total hip arthroplasty with shortening osteotomy in congenital major hip dislocation sequelae. Orthopedics, 2011, 34(8): e328-333.
18. Biant LC, Bruce WJ, Assini JB, et al. Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem. J Arthroplasty, 2009, 24(1): 27-32.
19. Mulroy WF, Harris WH. Revision total hip arthroplasty with use of so-called second-generation cementing techniques for aseptic loosening of the femoral component. A fifteen-year-average follow-up study. J Bone Joint Surg (Am), 1996, 78(3): 325-330.
20. Pierson JL, Harris WH. Cemented revision for femoral osteolysis in cemented arthroplasties. Results in 29 hips after a mean 8.5-year follow-up. J Bone Joint Surg (Br), 1994, 76(1): 40-44.
21. Glassman AH, Engh CA. Cementless revision for femoral failure. Orthopedics, 1995, 18(9): 851-853.
22. Berry DJ, Harmsen WS, Ilstrup D, et al. Survivorship of uncemented proximally porous-coated femoral components. Clin Orthop Relat Res, 1995, (319): 168-177.
23. Peters CL, Rivero DP, Kull LR, et al. Revision total hip arthroplasty without cement: subsidence of proximally porous-coated femoral components. J Bone Joint Surg (Am), 1995, 77(8): 1217-1226.
24. Bono JV, McCarthy JC, Lee J, et al. Fixation with a modular stem in revision total hip arthroplasty. Instr Course Lect, 2000, 49: 131-139.
25. Chandler HP, Ayres DK, Tan RC, et al. Revision total hip replacement using the S-ROM femoral component. Clin Orthop Relat Res, 1995, (319): 130-140.
26. Christie MJ, DeBoer DK, Tingstad EM, et al. Clinical experience with a modular noncemented femoral component in revision total hip arthroplasty: 4- to 7-year results. J Arthroplasty, 2000, 15(7): 840-848.
27. Park YS, Lim SJ. Long-term comparison of porous and hydroxyapatite sleeves in femoral revision using the S-ROM modular stem. Hip Int, 2010, 20(2): 179-186.
28. Atwood SA, Patten EW, Bozic KJ, et al. Corrosion-induced fracture of a double-modular hip prosthesis: a case report. J Bone Joint Surg (Am), 2010, 92(6): 1522-1525.
29. Sporer SM, DellaValle C, Jacobs J, et al. A case of disassociation of a modular femoral neck trunion after total hip arthroplasty. J Arthroplasty, 2006, 21(6): 918-921.
30. Kop AM, Keogh C, Swarts E. Proximal component modularity in THA—at what cost? Clin Orthop Relat Res, 2012, 470(7): 1885-1894.
  1. 1. Dunbar MJ. The proximal modular neck in THA: a bridge too far: affirms. Orthopedics, 2010, 33(9): 640.
  2. 2. Noble PC, Kamaric E, Sugano N, et al. Three-dimensional shape of the dysplastic femur: implications for THR. Clin Orthop Relat Res, 2003, (417): 27-40.
  3. 3. Argenson JN, Flecher X, Parratte S, et al. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res, 2007, (465): 40-45.
  4. 4. Paavilainen T, Hoikka V, Paavolainen P. Cementless total hip arthroplasty for congenitally dislocated or dysplastic hips. Technique for replacement with a straight femoral component. Clin Orthop Relat Res, 1993, (297): 71-81.
  5. 5. Zadeh HG, Hua J, Walker PS, et al. Uncemented total hip arthroplasty with subtrochanteric derotational osteotomy for severe femoral anteversion. J Arthroplasty, 1999, 14(6): 682-688.
  6. 6. Gorski JM. Modular noncemented total hip arthroplasty for congenital dislocation of the hip. Case report and design rationale. Clin Orthop Relat Res, 1988, (228): 110-116.
  7. 7. Gosens T, van Langelaan EJ, Tonino AJ. Cementless mallory-head HA-coated hip arthroplasty for osteoarthritis in hip dysplasia. J Arthroplasty, 2003, 18(4): 401-410.
  8. 8. Cameron HU. Management of femoral deformities during the total hip replacement. Orthopedics, 1996, 19(9): 745-746.
  9. 9. Paavilainen T, Hoikka V, Solonen KA. Cementless total replacement for severely dysplastic or dislocated hips. J Bone Joint Surg (Br), 1990, 72(2): 205-211.
  10. 10. Becker DA, Gustilo RB. Double-chevron subtrochanteric shortening derotational femoral osteotomy combined with total hip arthroplasty for the treatment of complete congenital dislocation of the hip in the adult. Preliminary report and description of a new surgical technique. J Arthroplasty, 1995, 10(3): 313-318.
  11. 11. Huo MH, Zatorski LE, Keggi KJ. Oblique femoral osteotomy in cementless total hip arthroplasty. Prospective consecutive series with a 3-year minimum follow-up period. J Arthroplasty, 1995, 10(3): 319-327.
  12. 12. Yasgur DJ, Stuchin SA, Adler EM, et al. Subtrochanteric femoral shortening osteotomy in total hip arthroplasty for high-riding developmental dislocation of the hip. J Arthroplasty, 1997, 12(8): 880-888.
  13. 13. Reikeraas O, Lereim P, Gabor I, et al. Femoral shortening in total arthroplasty for completely dislocated hips: 3-7 year results in 25 cases. Acta Orthop Scand, 1996, 67(1): 33-36.
  14. 14. Bruce WJ, Rizkallah SM, Kwon YM, et al. A new technique of subtrochanteric shortening in total hip arthroplasty: surgical technique and results of 9 cases. J Arthroplasty, 2000, 15(5): 617-626.
  15. 15. Masonis JL, Patel JV, Miu A, et al. Subtrochanteric shortening and derotational osteotomy in primary total hip arthroplasty for patients with severe hip dysplasia: 5-year follow-up. J Arthroplasty, 2003, 18(3 Suppl 1): 68-73.
  16. 16. Onodera S, Majima T, Ito H, et al. Cementless total hip arthroplasty using the modular S-ROM prosthesis combined with corrective proximal femoral osteotomy. J Arthroplasty, 2006, 21(5): 664-669.
  17. 17. Dallari D, Pignatti G, Stagni C, et al. Total hip arthroplasty with shortening osteotomy in congenital major hip dislocation sequelae. Orthopedics, 2011, 34(8): e328-333.
  18. 18. Biant LC, Bruce WJ, Assini JB, et al. Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem. J Arthroplasty, 2009, 24(1): 27-32.
  19. 19. Mulroy WF, Harris WH. Revision total hip arthroplasty with use of so-called second-generation cementing techniques for aseptic loosening of the femoral component. A fifteen-year-average follow-up study. J Bone Joint Surg (Am), 1996, 78(3): 325-330.
  20. 20. Pierson JL, Harris WH. Cemented revision for femoral osteolysis in cemented arthroplasties. Results in 29 hips after a mean 8.5-year follow-up. J Bone Joint Surg (Br), 1994, 76(1): 40-44.
  21. 21. Glassman AH, Engh CA. Cementless revision for femoral failure. Orthopedics, 1995, 18(9): 851-853.
  22. 22. Berry DJ, Harmsen WS, Ilstrup D, et al. Survivorship of uncemented proximally porous-coated femoral components. Clin Orthop Relat Res, 1995, (319): 168-177.
  23. 23. Peters CL, Rivero DP, Kull LR, et al. Revision total hip arthroplasty without cement: subsidence of proximally porous-coated femoral components. J Bone Joint Surg (Am), 1995, 77(8): 1217-1226.
  24. 24. Bono JV, McCarthy JC, Lee J, et al. Fixation with a modular stem in revision total hip arthroplasty. Instr Course Lect, 2000, 49: 131-139.
  25. 25. Chandler HP, Ayres DK, Tan RC, et al. Revision total hip replacement using the S-ROM femoral component. Clin Orthop Relat Res, 1995, (319): 130-140.
  26. 26. Christie MJ, DeBoer DK, Tingstad EM, et al. Clinical experience with a modular noncemented femoral component in revision total hip arthroplasty: 4- to 7-year results. J Arthroplasty, 2000, 15(7): 840-848.
  27. 27. Park YS, Lim SJ. Long-term comparison of porous and hydroxyapatite sleeves in femoral revision using the S-ROM modular stem. Hip Int, 2010, 20(2): 179-186.
  28. 28. Atwood SA, Patten EW, Bozic KJ, et al. Corrosion-induced fracture of a double-modular hip prosthesis: a case report. J Bone Joint Surg (Am), 2010, 92(6): 1522-1525.
  29. 29. Sporer SM, DellaValle C, Jacobs J, et al. A case of disassociation of a modular femoral neck trunion after total hip arthroplasty. J Arthroplasty, 2006, 21(6): 918-921.
  30. 30. Kop AM, Keogh C, Swarts E. Proximal component modularity in THA—at what cost? Clin Orthop Relat Res, 2012, 470(7): 1885-1894.