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Abstract：
Prior studies indicate that one factor that may contribute to total hip arthroplasty failure due to mechanically assisted crevice corrosion at the femoral head-trunnion junction is the method of femoral head fixation.
Up-to-date on-line surgical technique guides describing fixation of the prosthetic femoral head of common implants of the 4 largest manufacturers as well as 2 minor manufacturers were identified. The information given regarding preparation and fixation of the femoral head was evaluated and compared.
A total of 24 surgical technique guides were evaluated. Most guides (22/24) addressed fixation technique; of these, 19 of 22 suggested cleaning and 20 of 22 suggested drying the trunnion prior to affixing the femoral head. The manner of fixation, however, varied widely and there was no single technique advocated.
The majority of surgeon education materials do not specify a single technique for assembly of the head femoral component in total hip arthroplasty. If the method of fixation is indeed important, efforts should be made to identify the best technique, and improve and unify the surgical technique instructions.
Up-to-date on-line surgical technique guides describing fixation of the prosthetic femoral head of common implants of the 4 largest manufacturers as well as 2 minor manufacturers were identified. The information given regarding preparation and fixation of the femoral head was evaluated and compared.
A total of 24 surgical technique guides were evaluated. Most guides (22/24) addressed fixation technique; of these, 19 of 22 suggested cleaning and 20 of 22 suggested drying the trunnion prior to affixing the femoral head. The manner of fixation, however, varied widely and there was no single technique advocated.
The majority of surgeon education materials do not specify a single technique for assembly of the head femoral component in total hip arthroplasty. If the method of fixation is indeed important, efforts should be made to identify the best technique, and improve and unify the surgical technique instructions.
摘要：
先前的研究表明，由于股骨头-耳轴连接处的机械辅助缝隙腐蚀，可能导致全髋关节置换术失败的一个因素是股骨头固定方法。
确定了4个最大制造商以及2个次要制造商的常见植入物假体股骨头固定的最新在线手术技术指南。评估并比较了有关股骨头准备和固定的信息。
总共评估了24个手术技术指南。大多数指南(22/24)涉及固定技术；其中，22个中的19个建议清洁，22个中的20个建议在固定股骨头之前干燥耳轴。固定的方式，然而,差异很大，没有提倡单一的技术。
大多数外科医生教育材料都没有规定在全髋关节置换术中使用单一技术来组装股骨头组件。如果固定方法确实很重要，应该努力找出最好的技术，改进和统一手术技术说明。
确定了4个最大制造商以及2个次要制造商的常见植入物假体股骨头固定的最新在线手术技术指南。评估并比较了有关股骨头准备和固定的信息。
总共评估了24个手术技术指南。大多数指南(22/24)涉及固定技术；其中，22个中的19个建议清洁，22个中的20个建议在固定股骨头之前干燥耳轴。固定的方式，然而,差异很大，没有提倡单一的技术。
大多数外科医生教育材料都没有规定在全髋关节置换术中使用单一技术来组装股骨头组件。如果固定方法确实很重要，应该努力找出最好的技术，改进和统一手术技术说明。
