Dibra Florian, Parvataneni Hari
Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Division of Arthroplasty, Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.
Arthroplast Today. 2016 Apr 8;2(2):63-67. doi: 10.1016/j.artd.2016.03.001. eCollection 2016 Jun.
In the advent of increasing demand for total hip arthroplasty, surveillance of these patients is imperative to identify potential complications requiring revision surgery. This is especially important in the young population, as revision is usually necessary during their lifetime. We present a case of a young female patient with a history of total hip arthroplasty 17 years prior, who presented with left hip pain and anterior thigh mass. The prosthetic hip had progressed to catastrophic failure with the cobalt-chrome femoral head having eroded through the polyethylene and acetabular socket. This was associated with significant metal debris and large fluid collection in the thigh. The patient required complex revision surgery but could have had a much lesser procedure with earlier intervention.
随着对全髋关节置换术的需求不断增加，对这些患者进行监测对于识别需要翻修手术的潜在并发症至关重要。这在年轻人群中尤为重要，因为他们通常在一生中需要进行翻修手术。我们报告一例年轻女性患者，17年前有全髋关节置换术病史，现出现左髋疼痛和大腿前部肿块。假体髋关节已发展为灾难性失败，钴铬合金股骨头已侵蚀穿过聚乙烯和髋臼杯。这与大量金属碎屑和大腿部大量积液有关。患者需要进行复杂的翻修手术，但如果早期干预，手术过程本可以简单得多。
