Incidence of ceramic liner malseating in Trident acetabular shell.
作者信息
Miller Anna N, Su Edwin P, Bostrom Mathias P G, Nestor Bryan J, Padgett Douglas E
机构信息
Department of Orthopedic Surgery, Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021, USA.
出版信息
Clin Orthop Relat Res. 2009 Jun;467(6):1552-6. doi: 10.1007/s11999-009-0770-5. Epub 2009 Mar 12.
Abstract
UNLABELLED
The low wear rates associated with ceramic hip articulations have made them a popular bearing for younger patients. Although few complications have been observed, one report revealed several instances of incomplete seating of the ceramic liner in the metallic shell. We performed a cohort study of consecutive THAs using a ceramic-ceramic bearing. Radiographic analysis showed 50 (7.2%) of the group of 694 hips had evidence of incomplete seating of the liner in the metallic shell. Although we observed no adverse effects at 6 to 12 weeks, we encourage surgeons to carefully assess liner placement in the metal shell at the time of surgery to avoid this unintended consequence and to assess placement at the time of followup so patients can be properly followed when incomplete seating is identified.
LEVEL OF EVIDENCE
Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
摘要
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本文引用的文献
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Incomplete seating of the liner with the Trident acetabular system: a cause for concern?
J Bone Joint Surg Br. 2007 Mar;89(3):291-5. doi: 10.1302/0301-620X.89B3.18473.
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Ceramic liner fracture after cementless alumina-on-alumina total hip arthroplasty.非骨水泥型氧化铝对氧化铝全髋关节置换术后陶瓷内衬骨折
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Acetabular component deformation with press-fit fixation.压配固定时髋臼组件的变形
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