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[髋臼杯骨折作为全髋关节置换术的早期并发症]

[Fracture of the acetabular cup as an early complication of total hip replacement].

作者信息

Otfinowski J, Dutka J

机构信息

Katedry i Kliniki Ortopedii AM w Krakowie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1991;56(4-6):150-5.

PMID:1369909
Abstract

The authors have presented 12 patients with non traumatic fracture of the acetabular cup of the Weller hip prosthesis. All the fractures have occurred 10 to 40 months following hip arthroplasty 9 of the broken sockets have been removed at the time of revision arthroplasty. They showed marked destruction with multiple fragmentation of the polethylen. The area of the destruction was surrounded by active tissue reaction described as resorbtion granulation. The remowed fragments of the polethylen have been examined physicochemically and showed marked increase in the degree of crystalisation. The authors have come to the conclusion that the main reason for the failure of the presented series of the polietylene cups was defect of the material used in their production.

摘要

作者报告了12例韦勒髋关节假体髋臼杯非创伤性骨折的患者。所有骨折均发生在髋关节置换术后10至40个月。在翻修关节置换术时,9个破损的髋臼杯被移除。它们显示出明显的破坏,聚乙烯出现多处碎裂。破坏区域被描述为吸收性肉芽的活跃组织反应所包围。对移除的聚乙烯碎片进行了物理化学检查,结果显示结晶度显著增加。作者得出结论,所报道的这一系列聚乙烯杯失败的主要原因是其生产所用材料存在缺陷。

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