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创伤性陶瓷股骨头骨折：一例初始误诊病例

Traumatic ceramic femoral head fracture: an initial misdiagnosis.

作者信息

Fard-Aghaie Mohammad H, Citak Mustafa, Correia Joao, Haasper Carl, Gehrke Thorsten, Kendoff Daniel

机构信息

Orthopaedic Department, Helios ENDO-Klinik Hamburg, Germany.

出版信息

Open Orthop J. 2012;6:362-5. doi: 10.2174/1874325001206010362. Epub 2012 Aug 10.

DOI:10.2174/1874325001206010362
PMID:22927896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3426826/
Abstract

BACKGROUND AND PURPOSE

Ceramic heads are widely used in modern total hip arthroplasty (THA). Although a rare complication, fractures of ceramic heads are described in the literature, evoking uncertainties regarding the in vivo stability of this material, especially when impaction of a fractured ceramic head can lead to disastrous results.

METHODS

In this case report, we present a fracture of a ceramic head after trauma. A misinterpretation of the initial radiographs led to severe fragmentation of the ceramic head two weeks after the incident, later resulting in complete destruction of the arthroplasty.

RESULTS AND INTERPRETATION

Remarkably, radiographs obtained more than one year after the trauma led to this delayed diagnosis. A single radiographic evaluation, especially in patients with persistent pain after major trauma, with a ceramic head in a THA, seems to be insufficient.

摘要

背景与目的

陶瓷股骨头在现代全髋关节置换术（THA）中被广泛应用。尽管陶瓷股骨头骨折是一种罕见的并发症，但文献中对此有相关描述，这引发了人们对该材料体内稳定性的疑虑，尤其是当骨折的陶瓷股骨头受到撞击时可能会导致灾难性后果。

方法

在本病例报告中，我们呈现了一例创伤后陶瓷股骨头骨折的情况。对初始X线片的误判导致伤后两周陶瓷股骨头严重碎裂，随后导致关节置换完全损坏。

结果与解读

值得注意的是，创伤一年多后所拍摄的X线片才得出这一延迟诊断。仅进行一次影像学评估，尤其是对于接受THA且陶瓷股骨头置换的患者在遭受重大创伤后仍持续疼痛的情况而言，似乎是不够的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/1936780b8e22/TOORTHJ-6-362_F8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/655404daf5d0/TOORTHJ-6-362_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/c49237b17b46/TOORTHJ-6-362_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/b16e966cf813/TOORTHJ-6-362_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/13f692c807b8/TOORTHJ-6-362_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/8f503fc98cdf/TOORTHJ-6-362_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/3f548c91b77e/TOORTHJ-6-362_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/878a2440f471/TOORTHJ-6-362_F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/1936780b8e22/TOORTHJ-6-362_F8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/655404daf5d0/TOORTHJ-6-362_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/c49237b17b46/TOORTHJ-6-362_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/b16e966cf813/TOORTHJ-6-362_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/13f692c807b8/TOORTHJ-6-362_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/8f503fc98cdf/TOORTHJ-6-362_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/3f548c91b77e/TOORTHJ-6-362_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/878a2440f471/TOORTHJ-6-362_F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4b/3426826/1936780b8e22/TOORTHJ-6-362_F8.jpg

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J Arthroplasty. 2009 Jan;24(1):158.e5-8. doi: 10.1016/j.arth.2008.01.310. Epub 2008 Jun 5.
3
Fracture of an alumina femoral head used in ceramic-on-ceramic total hip arthroplasty.用于陶瓷对陶瓷全髋关节置换术的氧化铝股骨头骨折。
J Arthroplasty. 2008 Dec;23(8):1239.e25-30. doi: 10.1016/j.arth.2007.09.017. Epub 2008 Apr 11.
4
Alumina femoral head fracture in uncemented total hip arthroplasty with a ceramic sandwich cup.采用陶瓷夹层杯的非骨水泥型全髋关节置换术中的氧化铝股骨头骨折
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5
Early diagnosis of ceramic liner fracture. Guidelines based on a twelve-year clinical experience.陶瓷内衬骨折的早期诊断。基于十二年临床经验的指南。
J Bone Joint Surg Am. 2006 Dec;88 Suppl 4:55-63. doi: 10.2106/JBJS.F.00587.
6
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J Arthroplasty. 2006 Oct;21(7):1072-3. doi: 10.1016/j.arth.2005.03.045.
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8
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