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翻修全膝关节置换术中因锁定螺钉脱离导致的急性锁定

Acute locking in revision total knee arthroplasty due to disengagement of the locking screw.

作者信息

Nadkarni J B, Carden D G

机构信息

Southport and Ormskirk Hospital, Town Lane, Merseyside, Key, Southport, PR8 6PN, UK.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2005 Apr;13(3):190-2. doi: 10.1007/s00167-004-0552-2. Epub 2004 Oct 9.

DOI:10.1007/s00167-004-0552-2
PMID:15824933
Abstract

Acute locking of the joint in a replaced knee joint is very rare. This report describes an acute locking episode of a revised modular total knee replacement, occurring more than 2 years after surgery. A disengaged screw from the modular femoral component had lodged in the joint at the inferior pole of the patella and required urgent arthroscopic removal. There was no subsequent failure of the stem-condylar junction, nor loosening of the femoral component.

摘要

人工膝关节置换术后关节急性锁定非常罕见。本报告描述了一例翻修型模块化全膝关节置换术后超过2年发生的急性锁定事件。一枚从模块化股骨部件脱离的螺钉嵌入髌骨下极的关节内,需要紧急关节镜下取出。随后,柄-髁关节交界处未出现故障,股骨部件也未松动。

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本文引用的文献

1
Failure of the stem-condyle junction of a modular femoral stem in revision total knee arthroplasty: a report of five cases.翻修全膝关节置换术中模块化股骨柄的柄-髁连接部失效:5例报告
J Arthroplasty. 2001 Jan;16(1):128-32. doi: 10.1054/arth.2001.16496.
2
Disengagement of a locking screw from a modular stem in revision total knee arthroplasty. A report of three cases.
J Bone Joint Surg Am. 1997 Feb;79(2):254-8.
3
Concerns with modularity in total hip arthroplasty.全髋关节置换术中模块化的相关问题。
Disengagement of tibial insert locking pin in total knee arthroplasty - A rare failure case report.
全膝关节置换术中胫骨插入物锁定销脱离——一例罕见的失败病例报告。
J Clin Orthop Trauma. 2022 Aug 21;33:101996. doi: 10.1016/j.jcot.2022.101996. eCollection 2022 Oct.
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Biomechanics and Outcomes of Modern Tibial Polyethylene Inserts.现代胫骨聚乙烯垫片的生物力学与治疗结果
Curr Rev Musculoskelet Med. 2022 Jun;15(3):194-204. doi: 10.1007/s12178-022-09755-6. Epub 2022 Apr 6.
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Failure of Polyethelene Insert Locking Mechanism after a Posterior Stabilised Total Knee Arthroplasty- A Case Report.后稳定型全膝关节置换术后聚乙烯衬垫锁定机制失效——病例报告
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Ten-Year Results of Primary and Revision Condylar-Constrained Total Knee Arthroplasty in Patients with Severe Coronal Plane Instability.严重冠状面不稳定患者初次及翻修髁限制型全膝关节置换术的十年结果
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Knee Surg Sports Traumatol Arthrosc. 2013 Dec;21(12):2685-8. doi: 10.1007/s00167-012-2018-2. Epub 2012 May 1.
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Fracture at the stem-condylar junction of a modular femoral prosthesis in a varus-valgus constrained total knee arthroplasty.在一个内翻-外翻受限的全膝关节置换术中,一个模块化股骨假体的干骺端-髁间交界处发生骨折。
Knee Surg Sports Traumatol Arthrosc. 2012 Jun;20(6):1071-4. doi: 10.1007/s00167-011-1652-4. Epub 2011 Aug 25.
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