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旋转平台全膝关节置换术的自发性180度旋转脱位

Spontaneous 180-Degree Rotatory Dislocation of Rotating-Platform Total Knee Arthroplasty.

作者信息

Sierra Stephen, Akalonu Chibuzo, West Kevin, Blue Matthew, Brindley George

机构信息

Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center, 3601 4th St. MS 9436, Lubbock, TX 79436, USA.

出版信息

Case Rep Orthop. 2019 Sep 15;2019:2038983. doi: 10.1155/2019/2038983. eCollection 2019.

DOI:10.1155/2019/2038983
PMID:31637073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6766126/
Abstract

Rotating-bearing total knee arthroplasty has been theorized to have some advantages in the kinematics and wear characteristics of total knee arthroplasty. A rare complication of rotating-bearing total knee arthroplasty is rotary dislocation, spinout, of the polyethylene component. When these dislocations occur, they typically result in a 90-degree dislocation in respect to the axial axis of the knee. This case is unique in that it presents a complete 180-degree polyethylene dislocation without trauma.

摘要

旋转平台全膝关节置换术在全膝关节置换术的运动学和磨损特性方面被认为具有一些优势。旋转平台全膝关节置换术的一种罕见并发症是聚乙烯部件的旋转脱位,即旋出。当这些脱位发生时,它们通常会导致相对于膝关节轴呈90度的脱位。该病例的独特之处在于它呈现了一例无外伤的180度聚乙烯完全脱位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b72/6766126/0d061d5adadb/CRIOR2019-2038983.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b72/6766126/ee2b1376234b/CRIOR2019-2038983.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b72/6766126/0d061d5adadb/CRIOR2019-2038983.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b72/6766126/ee2b1376234b/CRIOR2019-2038983.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b72/6766126/0d061d5adadb/CRIOR2019-2038983.002.jpg

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本文引用的文献

1
Seventeen to Twenty Years of Follow-Up of the Low Contact Stress Rotating-Platform Total Knee Arthroplasty With a Cementless Tibia in All Cases.所有病例中采用低接触压旋转平台全膝关节置换术(非骨水泥固定胫骨)十七至二十年的随访结果。
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Spinout/Dislocation in Mobile-Bearing Total Knee Arthroplasty: A Report of 26 Cases.活动平台全膝关节置换术后的旋出/脱位:26 例报告。
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Acute, recurrent total knee dislocation: Polyethylene dislocation and malreduction.
急性复发性全膝关节脱位:聚乙烯脱位及复位不良。
Arthroplast Today. 2015 Mar 20;1(1):7-10. doi: 10.1016/j.artd.2015.01.001. eCollection 2015 Mar.
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Fixed Bearings versus Rotating Platforms in Total Knee Arthroplasty.全膝关节置换术中的固定轴承与旋转平台
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No clinical difference between fixed- and mobile-bearing cruciate-retaining total knee arthroplasty: a prospective randomized study.固定平台与活动平台保留交叉韧带全膝关节置换术的临床差异:一项前瞻性随机研究。
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180° rotatory dislocation of the rotating platform of a posterior-stabilized mobile-bearing knee prosthesis; possible complication after closed reduction of a posterior dislocation--a case report.后稳定型活动平台膝关节假体旋转平台180°旋转脱位;后脱位闭合复位后的可能并发症——病例报告
Knee. 2014 Jan;21(1):322-4. doi: 10.1016/j.knee.2012.09.016. Epub 2012 Oct 22.
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Orthop Surg. 2011 Nov;3(4):224-8. doi: 10.1111/j.1757-7861.2011.00156.x.
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Rotating platform spinouts with cruciate-retaining mobile-bearing knees.带交叉韧带保留型活动平台的旋转平台型膝关节假体。
J Arthroplasty. 2011 Sep;26(6):877-82. doi: 10.1016/j.arth.2011.03.007. Epub 2011 May 6.
9
Complete 180° rotatory dislocation in a mobile-bearing knee prothesis.活动平台膝关节假体 180°完全旋转脱位。
J Arthroplasty. 2011 Jun;26(4):666.e1-3. doi: 10.1016/j.arth.2010.05.013. Epub 2010 Jul 20.