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计算机断层扫描在确定延迟性陶瓷髋臼内衬骨折治疗方案选择中的作用：一例报告

Role of computed tomography in determining the choice of treatment for delayed ceramic acetabular liner fracture: A case report.

作者信息

Dırvar Ferdi

机构信息

Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi Ortopedi ve Travmataloji Kliniği, 34470 Sarıyer, İstanbul, Türkiye.

出版信息

Jt Dis Relat Surg. 2020;31(2):377-381. doi: 10.5606/ehc.2020.72241. Epub 2020 Jun 18.

DOI:10.5606/ehc.2020.72241
PMID:32584740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7489176/
Abstract

Ceramic acetabular liner fracture is a rare complication and requires early revision surgery to avoid abrasive damaging of metal components by ceramic particles. Chromium-cobalt femoral head can be used in revision surgery if only fractured ceramic particles are completely removed because the abrasive effect of ceramic debris is more pronounced on metal head compared to ceramic head. In this article, we report a 50-year-old male patient of delayed acetabular liner fracture in which we used a ceramic head that is more resistant to residue ceramic particles. We assessed the patient by using computed tomography (CT) to locate the ceramic particles. By using CT imaging, we can detect which ceramic particles pose high morbidity risk for debridement.

摘要

陶瓷髋臼内衬骨折是一种罕见的并发症，需要早期翻修手术以避免陶瓷颗粒对金属部件造成磨损性损伤。如果仅将骨折的陶瓷颗粒完全清除，可在翻修手术中使用铬钴合金股骨头，因为与陶瓷头相比，陶瓷碎片对金属头的磨损作用更为明显。在本文中，我们报告了一名50岁男性髋臼内衬延迟骨折患者，我们在该患者中使用了对残留陶瓷颗粒更具耐受性的陶瓷头。我们通过计算机断层扫描（CT）对患者进行评估以定位陶瓷颗粒。通过CT成像，我们可以检测出哪些陶瓷颗粒对清创术具有较高的发病风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/98e501807af6/JDRS-2020-31-2-377-381-F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/8b473b41d388/JDRS-2020-31-2-377-381-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/1e4140301abe/JDRS-2020-31-2-377-381-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/d512b6cc8e55/JDRS-2020-31-2-377-381-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/959f30610a5e/JDRS-2020-31-2-377-381-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/49fa030aa7a0/JDRS-2020-31-2-377-381-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/8966f8690c66/JDRS-2020-31-2-377-381-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/98e501807af6/JDRS-2020-31-2-377-381-F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/8b473b41d388/JDRS-2020-31-2-377-381-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/1e4140301abe/JDRS-2020-31-2-377-381-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/d512b6cc8e55/JDRS-2020-31-2-377-381-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/959f30610a5e/JDRS-2020-31-2-377-381-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/49fa030aa7a0/JDRS-2020-31-2-377-381-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/8966f8690c66/JDRS-2020-31-2-377-381-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ff/7489176/98e501807af6/JDRS-2020-31-2-377-381-F7.jpg

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