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金属对金属全髋关节置换术后骨坏死伴假瘤1例。

A case of bone necrosis with pseudotumor following metal-on-metal total hip arthroplasty.

作者信息

Hasegawa Masahiro, Wakabayashi Hiroki, Sudo Akihiro

机构信息

Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.

出版信息

Arthroplast Today. 2017 Oct 25;4(3):291-294. doi: 10.1016/j.artd.2017.09.008. eCollection 2018 Sep.

DOI:10.1016/j.artd.2017.09.008
PMID:30186907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6123320/
Abstract

A case of bone necrosis with a pseudotumor following metal-on-metal total hip arthroplasty is presented. The patient showed no abnormal magnetic resonance findings 2 years postoperatively, but serum metal ion levels were elevated. The patient developed hip pain 3.5 years postoperatively, and bone necrosis with a pseudotumor was found. The present patient emphasized the fact that tissue necrosis associated with failed metal-on-metal bearing hip might not be limited to soft tissues, but bone necrosis could occur.

摘要

本文报告一例金属对金属全髋关节置换术后发生骨坏死并伴有假瘤的病例。患者术后2年磁共振成像未发现异常，但血清金属离子水平升高。患者术后3.5年出现髋关节疼痛，发现骨坏死并伴有假瘤。该患者强调了这样一个事实，即金属对金属承重髋关节失败相关的组织坏死可能不仅限于软组织，骨坏死也可能发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/8271d0e78ed7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/ee5072b9eea2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/eaec0d73aa4d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/0df0b1c5baf9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/8271d0e78ed7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/ee5072b9eea2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/eaec0d73aa4d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/0df0b1c5baf9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1525/6123320/8271d0e78ed7/gr4.jpg

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本文引用的文献

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J Arthroplasty. 2017 Dec;32(12):3704-3710. doi: 10.1016/j.arth.2017.07.004. Epub 2017 Jul 14.
2
Comparison of Pre-Revision Magnetic Resonance Imaging and Operative Findings in Mechanically Assisted Crevice Corrosion in Symptomatic Metal-on-Polyethylene Total Hip Arthroplasties.机械辅助缝隙腐蚀致症状性金属对聚乙烯全髋关节置换术中术前磁共振成像与手术发现的比较。
J Arthroplasty. 2017 Aug;32(8):2535-2545. doi: 10.1016/j.arth.2017.03.021. Epub 2017 Mar 18.
3
Adverse reactions to metal on polyethylene implants: Highly destructive lesions related to elevated concentration of cobalt and chromium in synovial fluid.
金属对聚乙烯植入物的不良反应：与滑液中钴和铬浓度升高相关的高度破坏性病变。
J Biomed Mater Res A. 2017 Jul;105(7):1876-1886. doi: 10.1002/jbm.a.36057. Epub 2017 Mar 29.
4
Elevated Intra-Articular Cobalt and Chromium Levels in Mechanically Assisted Crevice Corrosion in Metal-on-Polyethylene Total Hip Arthroplasty.金属对聚乙烯全髋关节置换术中机械辅助缝隙腐蚀导致关节内钴和铬水平升高。
J Arthroplasty. 2017 May;32(5):1654-1658. doi: 10.1016/j.arth.2016.11.056. Epub 2016 Dec 14.
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Greater Trochanteric Fragmentation After Failed Metal-on-Metal Hip Arthroplasty.金属对金属髋关节置换失败后的大转子骨折
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