Ebraheim N A, Savolaine E R, Zeiss J, Jackson W T
Department of Orthopaedics, Medical College of Ohio, Toledo 43699-0008.
Clin Orthop Relat Res. 1992 Feb(275):194-8.
The value of magnetic resonance imaging (MRI) for assessment of the hip has been demonstrated, particularly in cases of avascular necrosis. Magnetic resonance imaging can be used to provide anatomic evaluation of the femoral head, acetabulum, hip joint, joint fluid, and the surrounding structures. MR examinations of two patients with hip fractures fixed with stainless steel hip implants were compared with nine patients with hip fractures fixed with titanium hip implants, one of which showed avascular necrosis of the femoral head. The titanium implants resulted in less MRI artifacts, allowing for improved depiction of the femoral head and surrounding soft tissue. For this reason titanium fixation devices are recommended as a substitute for stainless steel in the hip joint region in a patient who may need future MR examination.
磁共振成像(MRI)在评估髋关节方面的价值已得到证实,尤其是在缺血性坏死的病例中。磁共振成像可用于对股骨头、髋臼、髋关节、关节液及周围结构进行解剖学评估。对两名使用不锈钢髋关节植入物固定髋关节骨折的患者与九名使用钛髋关节植入物固定髋关节骨折的患者进行了磁共振检查,其中一名使用钛植入物的患者出现了股骨头缺血性坏死。钛植入物产生的MRI伪影较少,有助于更好地显示股骨头及周围软组织。因此,对于可能需要未来进行磁共振检查的患者,建议在髋关节区域使用钛固定装置替代不锈钢固定装置。