常用髋关节假体课件整理-002

常用关芳假体类型DEPUYRibbed解剖型柄AML翻修柄(远端固定)ToP非骨水泥骨小梁固定型髋臼杯sROM组配式假体(初次和翻修)cFP保留股骨颈短柄假体CORAIL全表面羟基磷灰石涂层Betacup纳米复合陶瓷界面Duraloc髋臼杯系统s叫解剖型髖关节假体系统(骨水泥)MP组配式翻修柄常用关芳假体类型1Ribbed假体的特点解剖型深沟槽大转子螺钉远近端同时匹配·表面工艺柄远端设计特殊活动领Ribbed假体的特点2解剖型的优点:◆S形弯曲与股骨的生理弯曲相匹配,使应力分布均匀,无应力集中点◆始终处于股骨中心,接触面积增大,有利于骨长入◆抗旋转稳定性好解剖型的优点:3直柄型有应力集中点解剖型应力分布均匀直柄型有应力集中点4深沟槽设计·降低30%的弹性模量-减少应力遮挡·增加与皮质骨接触点-抗旋转·增加与松质骨接触面积-增加骨长入的机会深沟槽设计5大转子螺钉抗张力抗旋转即期稳定利于恢复股骨生理应力大转子螺钉6远、近端同时匹配假体远端和近端都与骨质贴合紧密·近端pressfit、远端glidingfit滑动匹配今适用于更多的股骨类型使应力的分布和传导更加接近生理状态◆术中易操作,不易骨折◆术后腿痛发生率低glidingfit◆应力遮挡小远、近端同时匹配7每种直径的远端,均有数种尺寸的近端相对应型(B代表柄近端直径E代表柄远端直径)型号BE001A22801A259IA2511IB272A25227122912325135A2914_7A2916每种直径的远端,均有数种尺寸的近端相对应型8表面工艺研究表明,骨长入最佳空隙的规格以50200μm最佳一一Ribbed柄的近端部分是直径约70μm的微孔表面或HA喷涂表面。Rbed柄的HA涂层厚度为20opm,遥免了HA涂层过厚容易剥脱,过薄容易被吸收的弊端表面工艺9活动领设计◆假体柄植入到位后,可以将可拆卸领托取下,在沟槽内植入更多的骨质。活动领设计10常用髋关节假体课件整理_00211常用髋关节假体课件整理_00212常用髋关节假体课件整理_00213常用髋关节假体课件整理_00214常用髋关节假体课件整理_00215常用髋关节假体课件整理_00216常用髋关节假体课件整理_00217常用髋关节假体课件整理_00218常用髋关节假体课件整理_00219常用髋关节假体课件整理_00220常用髋关节假体课件整理_00221常用髋关节假体课件整理_00222常用髋关节假体课件整理_00223常用髋关节假体课件整理_00224常用髋关节假体课件整理_00225常用髋关节假体课件整理_00226常用髋关节假体课件整理_00227常用髋关节假体课件整理_00228常用髋关节假体课件整理_00229常用髋关节假体课件整理_00230常用髋关节假体课件整理_00231常用髋关节假体课件整理_00232常用髋关节假体课件整理_00233常用髋关节假体课件整理_00234常用髋关节假体课件整理_00235常用髋关节假体课件整理_00236常用髋关节假体课件整理_00237常用髋关节假体课件整理_00238常用髋关节假体课件整理_00239常用髋关节假体课件整理_00240常用髋关节假体课件整理_00241常用髋关节假体课件整理_00242常用髋关节假体课件整理_00243常用髋关节假体课件整理_00244常用髋关节假体课件整理_00245常用髋关节假体课件整理_00246常用髋关节假体课件整理_00247常用髋关节假体课件整理_00248常用髋关节假体课件整理_00249常用髋关节假体课件整理_00250常用髋关节假体课件整理_00251常用髋关节假体课件整理_00252常用髋关节假体课件整理_00253常用髋关节假体课件整理_00254常用髋关节假体课件整理_00255常用髋关节假体课件整理_00256常用髋关节假体课件整理_00257常用髋关节假体课件整理_00258常用髋关节假体课件整理_00259常用髋关节假体课件整理_00260常用髋关节假体课件整理_00261常用髋关节假体课件整理_00262常用髋关节假体课件整理_00263常用髋关节假体课件整理_00264常用髋关节假体课件整理_00265常用髋关节假体课件整理_00266常用髋关节假体课件整理_00267常用髋关节假体课件整理_00268常用髋关节假体课件整理_00269常用髋关节假体课件整理_00270常用髋关节假体课件整理_00271常用髋关节假体课件整理_00272常用髋关节假体课件整理_00273常用髋关节假体课件整理_00274常用髋关节假体课件整理_00275常用髋关节假体课件整理_00276常用髋关节假体课件整理_00277常用髋关节假体课件整理_00278常用髋关节假体课件整理_00279常用髋关节假体课件整理_00280常用髋关节假体课件整理_00281常用髋关节假体课件整理_00282常用髋关节假体课件整理_00283常用髋关节假体课件整理_00284常用髋关节假体课件整理_00285常用髋关节假体课件整理_00286常用髋关节假体课件整理_00287常用髋关节假体课件整理_00288常用髋关节假体课件整理_00289常用髋关节假体课件整理_00290常用髋关节假体课件整理_00291常用髋关节假体课件整理_00292常用髋关节假体课件整理_00293常用髋关节假体课件整理_00294常用髋关节假体课件整理_00295常用髋关节假体课件整理_00296常用髋关节假体课件整理_00297常用髋关节假体课件整理_00298常用髋关节假体课件整理_00299常用髋关节假体课件整理_002100常用髋关节假体课件整理_002101常用髋关节假体课件整理_002102常用髋关节假体课件整理_002103常用髋关节假体课件整理_002104常用髋关节假体课件整理_002105常用髋关节假体课件整理_002106常用髋关节假体课件整理_002107常用关芳假体类型DEPUYRibbed解剖型柄AML翻修柄(远端固定)ToP非骨水泥骨小梁固定型髋臼杯sROM组配式假体(初次和翻修)cFP保留股骨颈短柄假体CORAIL全表面羟基磷灰石涂层Betacup纳米复合陶瓷界面Duraloc髋臼杯系统s叫解剖型髖关节假体系统(骨水泥)MP组配式翻修柄常用关芳假体类型108Ribbed假体的特点解剖型深沟槽大转子螺钉远近端同时匹配·表面工艺柄远端设计特殊活动领Ribbed假体的特点109解剖型的优点:◆S形弯曲与股骨的生理弯曲相匹配,使应力分布均匀,无应力集中点◆始终处于股骨中心,接触面积增大,有利于骨长入◆抗旋转稳定性好解剖型的优点:110直柄型有应力集中点解剖型应力分布均匀直柄型有应力集中点111深沟槽设计·降低30%的弹性模量-减少应力遮挡·增加与皮质骨接触点-抗旋转·增加与松质骨接触面积-增加骨长入的机会深沟槽设计112大转子螺钉抗张力抗旋转即期稳定利于恢复股骨生理应力大转子螺钉113远、近端同时匹配假体远端和近端都与骨质贴合紧密·近端pressfit、远端glidingfit滑动匹配今适用于更多的股骨类型使应力的分布和传导更加接近生理状态◆术中易操作,不易骨折◆术后腿痛发生率低glidingfit◆应力遮挡小远、近端同时匹配114每种直径的远端,均有数种尺寸的近端相对应型(B代表柄近端直径E代表柄远端直径)型号BE001A22801A259IA2511IB272A25227122912325135A2914_7A2916每种直径的远端,均有数种尺寸的近端相对应型115表面工艺研究表明,骨长入最佳空隙的规格以50200μm最佳一一Ribbed柄的近端部分是直径约70μm的微孔表面或HA喷涂表面。Rbed柄的HA涂层厚度为20opm,遥免了HA涂层过厚容易剥脱,过薄容易被吸收的弊端表面工艺116活动领设计◆假体柄植入到位后,可以将可拆卸领托取下,在沟槽内植入更多的骨质。活动领设计117常用髋关节假体课件整理_002118常用髋关节假体课件整理_002119常用髋关节假体课件整理_002120常用髋关节假体课件整理_002121常用髋关节假体课件整理_002122常用髋关节假体课件整理_002123常用髋关节假体课件整理_002124常用髋关节假体课件整理_002125常用髋关节假体课件整理_002126常用髋关节假体课件整理_002127常用髋关节假体课件整理_002128常用髋关节假体课件整理_002129常用髋关节假体课件整理_002130常用髋关节假体课件整理_002131常用髋关节假体课件整理_002132常用髋关节假体课件整理_002133常用髋关节假体课件整理_002134常用髋关节假体课件整理_002135常用髋关节假体课件整理_002136常用髋关节假体课件整理_002137常用髋关节假体课件整理_002138常用髋关节假体课件整理_002139常用髋关节假体课件整理_002140常用髋关节假体课件整理_002141常用髋关节假体课件整理_002142常用髋关节假体课件整理_002143常用髋关节假体课件整理_002144常用髋关节假体课件整理_002145常用髋关节假体课件整理_002146常用髋关节假体课件整理_002147常用髋关节假体课件整理_002148常用髋关节假体课件整理_002149常用髋关节假体课件整理_002150常用髋关节假体课件整理_002151常用髋关节假体课件整理_002152常用髋关节假体课件整理_002153常用髋关节假体课件整理_002154常用髋关节假体课件整理_002155常用髋关节假体课件整理_002156常用髋关节假体课件整理_002157常用髋关节假体课件整理_002158常用髋关节假体课件整理_002159常用髋关节假体课件整理_002160常用髋关节假体课件整理_002161常用髋关节假体课件整理_002162常用髋关节假体课件整理_002163常用髋关节假体课件整理_002164常用髋关节假体课件整理_002165常用髋关节假体课件整理_002166常用髋关节假体课件整理_002167常用髋关节假体课件整理_002168常用髋关节假体课件整理_002169常用髋关节假体课件整理_002170常用髋关节假体课件整理_002171常用髋关节假体课件整理_002172常用髋关节假体课件整理_002173常用髋关节假体课件整理_002174常用髋关节假体课件整理_002175常用髋关节假体课件整理_002176常用髋关节假体课件整理_002177常用髋关节假体课件整理_002178常用髋关节假体课件整理_002179常用髋关节假体课件整理_002180常用髋关节假体课件整理_002181常用髋关节假体课件整理_002182常用髋关节假体课件整理_002183常用髋关节假体课件整理_002184常用髋关节假体课件整理_002185常用髋关节假体课件整理_002186常用髋关节假体课件整理_002187常用髋关节假体课件整理_002188常用髋关节假体课件整理_002189常用髋关节假体课件整理_002190常用髋关节假体课件整理_002191常用髋关节假体课件整理_002192常用髋关节假体课件整理_002193常用髋关节假体课件整理_002194常用髋关节假体课件整理_002195常用髋关节假体课件整理_002196常用髋关节假体课件整理_002197常用髋关节假体课件整理_002198常用髋关节假体课件整理_002199常用髋关节假体课件整理_0022