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陶瓷对陶瓷髋关节置换术后骨溶解。病例报告。

Osteolysis after ceramic-on-ceramic hip arthroplasty. A case report.

作者信息

Borssén B, Kärrholm J, Snorrason F

机构信息

University Hospital, Department of Orthopedics, Umeå, Sweden.

出版信息

Acta Orthop Scand. 1991 Feb;62(1):73-5. doi: 10.3109/17453679108993098.

DOI:10.3109/17453679108993098
PMID:2003394
Abstract

A patient with rheumatoid arthritis operated on with insertion of an uncemented ceramic-on-ceramic Mittelmeier total hip developed an extensive, rapidly evolving osteolysis around the prosthetic stem, which in turn fractured spontaneously after 5 years. Aggressive bone resorption cannot be prevented by exclusion of polyethylene and bone cement from hip arthroplasty.

摘要

一名患有类风湿性关节炎的患者接受了非骨水泥型陶瓷对陶瓷的米特尔迈尔全髋关节置换手术,术后假体柄周围出现广泛且迅速发展的骨质溶解,5年后假体柄继而自发骨折。在髋关节置换术中排除聚乙烯和骨水泥并不能预防侵袭性骨吸收。

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引用本文的文献

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Ceramic-ceramic bearing decreases osteolysis: a 20-year study versus ceramic-polyethylene on the contralateral hip.陶瓷-陶瓷轴承可减少骨溶解:一项与对侧髋关节陶瓷-聚乙烯轴承对比的20年研究。
Clin Orthop Relat Res. 2009 Sep;467(9):2274-80. doi: 10.1007/s11999-009-0773-2. Epub 2009 Mar 13.