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翻修全髋关节置换术后炎性假瘤并发复发性脱位

Inflammatory pseudotumor complicated by recurrent dislocations after revision total hip arthroplasty.

作者信息

Quinn John Ryan, Lee Jason, Schwarzkopf Ran

机构信息

Department of Orthopaedics, Joint Replacement Surgery, University of California, Irvine, 101 The City Drive South, Pavilion III, Building 29A, Orange, CA 92868, USA.

出版信息

Case Rep Orthop. 2014;2014:792781. doi: 10.1155/2014/792781. Epub 2014 Aug 4.

Abstract

A 71-year-old female with a history of right total hip arthroplasty presented with an enlarging pseudotumor. Pseudotumor is a known complication following metal-on-metal and metal-on-conventional polyethylene and metal-on-highly cross-linked polyethylene implants. Revision total hip arthroplasty following resection of pseudotumor has resulted in an increase in incidence of postoperative complications. Despite stable implants, these complications arise from the amount of soft tissue damage combined with the loss of tissue support around the resected hip. Our case is a clear example of a major complication, recurrent dislocation, following resection and revision surgery.

摘要

一名有右全髋关节置换术病史的71岁女性出现了一个不断增大的假肿瘤。假肿瘤是金属对金属、金属对传统聚乙烯以及金属对高交联聚乙烯植入物术后已知的并发症。切除假肿瘤后进行翻修全髋关节置换术导致术后并发症发生率增加。尽管植入物稳定,但这些并发症是由软组织损伤的程度以及切除髋关节周围组织支持的丧失引起的。我们的病例是切除及翻修手术后出现主要并发症(复发性脱位)的一个明显例子。

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