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术中冰冷却导致冷焊接双模块钛股骨柄分离

Disassociation of a Cold-Welded Bimodular Titanium Femoral Stem by Intraoperative Ice Cooling.

作者信息

Frandsen Jeff, Duensing Ian, Anderson Lucas, Gililland Jeremy

机构信息

Department of Orthopaedics, University of Utah Hospital, Salt Lake City, UT, USA.

出版信息

Arthroplast Today. 2020 Jun 28;6(3):457-462. doi: 10.1016/j.artd.2020.05.018. eCollection 2020 Sep.

Abstract

Modularity in total hip arthroplasty allows a surgeon to have intraoperative versatility, allowing for fine adjustments of the femoral offset, leg length, and version. However, modularity can be a source of multiple complications. This case report describes a novel intraoperative solution for the problem of cold welding of a neck-stem junction using sterile ice to cryogenically disengage the modular components.

摘要

全髋关节置换术中的模块化设计使外科医生在手术中具有灵活性,能够对股骨偏心距、肢体长度和前倾角进行精细调整。然而,模块化也可能引发多种并发症。本病例报告描述了一种新颖的术中解决方案,即使用无菌冰块对模块化组件进行低温分离,以解决颈干连接处冷焊的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1b1/7329910/6457b4a89fea/gr1.jpg

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