Abstract:

TMJ total joint prosthesis （TJP） is an effective method for the treatment of end-stage osteoarthritis， ankylosis， idiopathic condylar resorption， tumor and failed autogeneous bone graft. There are two types of prosthesis： standard and individualized ones. TJP has gradually replaced autogeneous bone graft to be widely used in the western countries. This article is to introduce its history， indications， surgical methods of Biomet standard TJP， and its modifications and experience of Shanghai Ninth People′s Hospital by Prof. Yang Chi′s academic group.

Key words: TMJ, total joint prosthesis

摘要：

人工颞下颌关节是治疗晚期骨关节病、关节强直、髁突自溶性吸收、髁突肿瘤以及自体骨移植失败的有效方法，分为标准型和个体化2种类型。目前已逐步取代自体骨移植在欧美广泛应用。文章主要介绍了人工颞下颌关节的发展史、适应证和Biomet标准型人工颞下颌关节的手术方法，以及上海交通大学医学院附属第九人民医院杨驰团队对其进行的技术改进和临床应用经验。

关键词: 颞下颌关节, 人工关节