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使用扫描电子显微镜和有限元方法分析非骨水泥型股骨柄颈部骨折

Analysis of a Cementless Femoral Stem Neck Fracture Using Scanning Electron Microscopy and the Finite Element Method.

作者信息

Takai Hirokazu, Nakayama Daisuke, Murayama Masatoshi, Takahashi Tomoki

机构信息

Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan.

出版信息

Case Rep Orthop. 2019 May 7;2019:7204598. doi: 10.1155/2019/7204598. eCollection 2019.

DOI:10.1155/2019/7204598
PMID:31205795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6530236/
Abstract

Implant fracture is one of the rarest complications of total hip arthroplasty (THA). A 57-year-old woman experienced a fracture of the femoral stem (AHFIX Q, KYOCERA, Japan) about five years after THA. We examined the broken stem by digital microscopy, scanning electron microscopy, and finite element method. The anterolateral corner of the stem's neck was found to be the origin point of the fracture. Finite element method analysis revealed that the stress concentration was highest in the corner of the hollow for apparatus attachment. The stem's design has been considered one of the risk factors for stem fracture. In this patient, multiple risk factors, including thin stem (the smallest size, NAR #1), use of the long neck (+3 mm), obesity (body mass index: 27.3), and adjacent osteoarthritis (contralateral THA loosening and knee osteoarthritis), were present. To our knowledge, this is the first reported case of an AHFIX Q stem fracture. Surgeons must keep in mind that fracture of the femoral stem in patients with several risk factors is possible even several years after THA.

摘要

植入物骨折是全髋关节置换术（THA）最罕见的并发症之一。一名57岁女性在全髋关节置换术后约五年发生了股骨柄（AHFIX Q，日本京瓷公司）骨折。我们通过数字显微镜、扫描电子显微镜和有限元方法对折断的股骨柄进行了检查。发现股骨柄颈部的前外侧角是骨折的起始点。有限元方法分析显示，器械附着处中空部位的角部应力集中最高。股骨柄的设计被认为是股骨柄骨折的风险因素之一。在该患者中，存在多种风险因素，包括股骨柄细（最小尺寸，NAR #1）、使用长颈（+3毫米）、肥胖（体重指数：27.3）以及相邻关节骨关节炎（对侧全髋关节置换术松动和膝关节骨关节炎）。据我们所知，这是首例报道的AHFIX Q股骨柄骨折病例。外科医生必须牢记，即使在全髋关节置换术后数年，有多种风险因素的患者仍有可能发生股骨柄骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/21dc9e30e151/CRIOR2019-7204598.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/8fa60cd54639/CRIOR2019-7204598.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/af657a7541e9/CRIOR2019-7204598.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/3bfba2a536e3/CRIOR2019-7204598.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/e4aff1b4ed36/CRIOR2019-7204598.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/17b9e42590ca/CRIOR2019-7204598.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/21dc9e30e151/CRIOR2019-7204598.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/8fa60cd54639/CRIOR2019-7204598.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/af657a7541e9/CRIOR2019-7204598.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/3bfba2a536e3/CRIOR2019-7204598.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/e4aff1b4ed36/CRIOR2019-7204598.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/17b9e42590ca/CRIOR2019-7204598.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960b/6530236/21dc9e30e151/CRIOR2019-7204598.006.jpg

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4
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