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模块化初次全髋关节置换术中股骨头与颈的晚期分离

Late Disassembly of Femoral Head and Neck of A Modular Primary Total Hip Arthroplasty.

作者信息

Ahmed Parvej, Kumar Dinesh

机构信息

Associate Professor, Department of Orthopaedics, LLRM Medical College, Meerut, U.P. India.

Assistant Professor, Department of Orthopaedics, UPRIMS&R, Saifai, Etawah, U.P. India.

出版信息

J Orthop Case Rep. 2015 Jan-Mar;5(1):8-10. doi: 10.13107/jocr.2250-0685.243.

DOI:10.13107/jocr.2250-0685.243
PMID:27299010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4719362/
Abstract

INTRODUCTION

Modular total hip arthroplasty system are now widely used, as these components increase the flexibility during primary and revision total hip arthoplasty. But this modularity itself associated with some risk of intraoperative and postoperative complications.

CASE REPORT

We report a case of late disassembly of a primary total arthroplasty in a 42 years old patient five years after the replacement surgery where the femoral head remained in the acetabular socket.

CONCLUSION

Femoral head should be solidly impacted onto the stem and confirm that it has been assembled correctly before reduction.

摘要

引言

模块化全髋关节置换系统目前被广泛使用，因为这些组件增加了初次和翻修全髋关节置换术中的灵活性。但这种模块化本身与一些术中及术后并发症风险相关。

病例报告

我们报告一例42岁患者在置换手术五年后初次全髋关节置换术出现晚期组件拆解的病例，其中股骨头留在髋臼窝内。

结论

股骨头应牢固地压配在柄上，并在复位前确认其已正确组装。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/d35266224b96/JOCR-5-8-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/8df558866491/JOCR-5-8-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/6e4c6f9de10a/JOCR-5-8-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/20f2281f2c85/JOCR-5-8-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/d35266224b96/JOCR-5-8-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/8df558866491/JOCR-5-8-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/6e4c6f9de10a/JOCR-5-8-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/20f2281f2c85/JOCR-5-8-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1cc/4719362/d35266224b96/JOCR-5-8-g004.jpg

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本文引用的文献

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2
Late detachment modular femoral component after primary total hip replacement.
Arch Orthop Trauma Surg. 2001 Sep;121(8):481-2. doi: 10.1007/s004020100275.
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非骨水泥型髋关节置换术后模块化颈干组件迟发性松动且无脱位：一例报告及文献复习
Hip Pelvis. 2018 Sep;30(3):190-195. doi: 10.5371/hp.2018.30.3.190. Epub 2018 Sep 4.
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Disassembly of a modular femoral prosthesis after dislocation of the femoral component. A case report.
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Dissociation of modular hip arthroplasty components after dislocation. A report of three cases at differing dissociation levels.髋关节置换组件脱位后的分离。三例不同分离程度的报告。
Clin Orthop Relat Res. 1992 May(278):111-5.