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[陶瓷股骨头骨折——髋关节假体的一种罕见并发症。病例报告及文献综述]

[Ceramic head fracture--a rare complication in hip endoprosthesis. Case report and literature survey].

作者信息

Kern S, Schreiber A, Hilfiker B

机构信息

Orthopädische Universitätsklinik Balgrist, Zürich.

出版信息

Z Orthop Ihre Grenzgeb. 1990 Sep-Oct;128(5):543-8. doi: 10.1055/s-2008-1039611.

DOI:10.1055/s-2008-1039611
PMID:2147348
Abstract

Since introduction of the prosthetic joint replacement numerous design modifications have taken place. Some were successful other were given up after short time. During almost twenty years now in joint arthroplasty of the hip components made of A12 03-ceramics--ball and/or socket--are used. Many papers have reported about the results of these implants. One of the possible complications described in the literature is the breakage of the ceramic component(s). Since April 1981 we have implanted over 500 cementless prosthesis of the hip in combination with a ceramic ball. In one patients we observed a breakage of the head two years after implantation. We will describe the story of this case and discuss possible reasons for this complication in reference to the literature.

摘要

自从人工关节置换术问世以来,出现了许多设计上的改进。有些改进取得了成功,而有些则在短时间后被放弃。在近二十年里,髋关节置换术中一直使用由氧化铝陶瓷制成的部件——球和/或臼。许多论文报道了这些植入物的结果。文献中描述的一种可能并发症是陶瓷部件的断裂。自1981年4月以来,我们已经植入了500多个无骨水泥髋关节假体,并搭配陶瓷球。在一名患者中,我们观察到植入两年后球头发生了断裂。我们将讲述这个病例的情况,并结合文献讨论这种并发症可能的原因。

相似文献

1
[Ceramic head fracture--a rare complication in hip endoprosthesis. Case report and literature survey].[陶瓷股骨头骨折——髋关节假体的一种罕见并发症。病例报告及文献综述]
Z Orthop Ihre Grenzgeb. 1990 Sep-Oct;128(5):543-8. doi: 10.1055/s-2008-1039611.
2
Fracture of ceramic heads in total hip replacement.全髋关节置换术中陶瓷股骨头骨折
Arch Orthop Trauma Surg. 2006 Sep;126(7):464-70. doi: 10.1007/s00402-006-0173-y. Epub 2006 Jun 21.
3
Undetected fracture of an alumina ceramic on ceramic hip prosthesis.陶瓷-陶瓷髋关节假体中氧化铝陶瓷未检出的骨折。
J Arthroplasty. 2010 Jun;25(4):658.e1-5. doi: 10.1016/j.arth.2009.05.013. Epub 2009 Jul 4.
4
[Results of hip joint replacement with ceramics partial endoprostheses].[陶瓷部分髋关节置换术的结果]
Aktuelle Traumatol. 1990 Jun;20(3):129-35.
5
Ceramic endoprosthesis in total hip arthroplasty.全髋关节置换术中的陶瓷假体
Clin Orthop Relat Res. 1993 Dec(297):87-94.
6
[Medium-term results of cement-free autophor hip endoprosthesis].[无骨水泥型自体髋关节假体的中期结果]
Z Orthop Ihre Grenzgeb. 1993 Nov-Dec;131(6):507-12. doi: 10.1055/s-2008-1040062.
7
Conus hip prosthesis.圆锥髋关节假体。
Acta Chir Orthop Traumatol Cech. 2001;68(4):213-21.
8
Ceramic-on-ceramic total hip arthroplasty: update.陶瓷对陶瓷全髋关节置换术:最新进展
J Arthroplasty. 2008 Oct;23(7 Suppl):39-43. doi: 10.1016/j.arth.2008.06.003.
9
[Erosion with loosening of an aluminum oxide ceramic acetabulum. Case report].[氧化铝陶瓷髋臼磨损伴松动。病例报告]
Z Orthop Ihre Grenzgeb. 1985 Sep-Oct;123(5):803-7. doi: 10.1055/s-2008-1044759.
10
Ceramic-on-ceramic failure secondary to head-neck taper mismatch.头颈部锥度不匹配导致的陶瓷对陶瓷关节失败。
Am J Orthop (Belle Mead NJ). 2011 Nov;40(11):571-3.

引用本文的文献

1
Ceramic fragmentation after total hip arthroplasty: two case reports and literature review.全髋关节置换术后陶瓷碎片:两例病例报告及文献综述
Front Surg. 2024 Feb 20;11:1357301. doi: 10.3389/fsurg.2024.1357301. eCollection 2024.
2
[The problem of fractures of ceramic heads. What should be done?].
Orthopade. 2009 Aug;38(8):698-703. doi: 10.1007/s00132-009-1432-8.
3
How safe are ceramic heads as hip endoprostheses? A series of three head fractures within 3 months.陶瓷股骨头作为髋关节假体有多安全?3个月内发生了3例头部骨折。
Arch Orthop Trauma Surg. 1993;112(5):215-9. doi: 10.1007/BF00451877.