Досвід первинного ендопротезування кульшового суглоба
The article analyses total hip arthroplasty performed within 2000–2010 at the Institute’s Hospital of Joint Diseases in Adults. For 2010, the ratio of prostheses made with cement and cementless types of fixing as well as friction pairs in prostheses with a cementless type of fixing were assessed. An increasing number of hip arthroplasty operations in the course of time were revealed. The age of patients, in whom prostheses with a cement type of fixing were used, rose. A larger arsenal of cementless prostheses makes it possible to choose a device differentially in each particular case. In young patients, one should prefer such friction pairs as ceramics–ceramics, metal–metal with TiN coating or an alloy of zirconium with niobium, ceramics–cross-linked polyethylene. The metal–polyethylene pair is indicated for elderly and senile people.