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翻修关节成形术中伯明翰髋臼发育不良髋臼杯早期灾难性失败：一例报告

Early catastrophic failure of Birmingham acetabular dysplasia cup in revision arthroplasty: a case report.

作者信息

Ramappa Manjunath, Port Andrew

机构信息

Department Of Orthopaedics, James Cook University Hospital Middlesbrough, TS4 3BW UK.

出版信息

Cases J. 2009 Jul 30;2:8716. doi: 10.4076/1757-1626-2-8716.

DOI:10.4076/1757-1626-2-8716
PMID:19830096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2740045/
Abstract

INTRODUCTION

Revision acetabulum arthroplasty is one of the common procedures, which has been on the rise recently. Many implants are available in the market with variable results. Aseptic loosening is the most common indication for revision acetabulum arthroplasty. Birmingham dysplasia cup has been used occasionally in these complex procedures. We know that these implants have provided good results in resurfacing dysplastic hips with bone loss. Literature review failed to answer whether these implants were as effective in revision acetabulum arthroplasty.

CASE PRESENTATION

We herby, present a case of revision acetabulum arthroplasty performed with Birmingham dysplasia acetabular cup, which unfortunately failed within a period of eight months. Surgical technique appeared to be adequate. On further analysis, significant differences were identified between dysplastic hips with bone loss and revision hips with bone loss.

CONCLUSION

Therefore results obtained with dysplasia cups in resurfacing dysplastic hips does not seem to be applicable to revision hip arthroplasty. Hence these cups should be restricted to primary arthroplasty.

摘要

引言

髋臼翻修术是常见手术之一，近年来呈上升趋势。市场上有多种植入物，效果各异。无菌性松动是髋臼翻修术最常见的指征。伯明翰发育不良髋臼杯偶尔用于这些复杂手术。我们知道这些植入物在修复伴有骨质流失的发育不良髋关节方面取得了良好效果。文献综述未能回答这些植入物在髋臼翻修术中是否同样有效。

病例报告

在此，我们呈现一例使用伯明翰发育不良髋臼杯进行的髋臼翻修术病例，不幸的是该病例在八个月内失败。手术技术看似充分。进一步分析发现，伴有骨质流失的发育不良髋关节与伴有骨质流失的翻修髋关节之间存在显著差异。

结论

因此，发育不良髋臼杯在修复发育不良髋关节中取得的效果似乎不适用于髋关节翻修术。因此，这些髋臼杯应仅限于初次关节置换术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/62cf1dee174a/1757-1626-0002-0000008716-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/dc1b1455e357/1757-1626-0002-0000008716-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/037604b0c4da/1757-1626-0002-0000008716-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/eab35a460ace/1757-1626-0002-0000008716-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/646d04b358b4/1757-1626-0002-0000008716-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/62cf1dee174a/1757-1626-0002-0000008716-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/dc1b1455e357/1757-1626-0002-0000008716-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/037604b0c4da/1757-1626-0002-0000008716-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/eab35a460ace/1757-1626-0002-0000008716-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/646d04b358b4/1757-1626-0002-0000008716-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3df/2740045/62cf1dee174a/1757-1626-0002-0000008716-005.jpg

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本文引用的文献

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Results of the Birmingham Hip Resurfacing dysplasia component in severe acetabular insufficiency: a six- to 9.6-year follow-up.严重髋臼发育不良情况下伯明翰髋关节表面置换发育不良组件的结果：6至9.6年随访
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Metal-on-metal hip resurfacing in developmental dysplasia: a case-control study.发育性髋关节发育不良中金属对金属髋关节表面置换术：一项病例对照研究。
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Does bone quality predict loosening of cemented total hip replacements?
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