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双活动衬垫导致的髂腰肌撞击：一例原始病例报告及文献综述

Ilio-psoas impingement with a dual-mobility liner: an original case report and review of literature.

作者信息

Fessy Michel Henri, Riglet Louis, Gras Laure-Lise, Neyra Hadrien, Pialat Jean-Baptiste, Viste Anthony

机构信息

Hospices Civils de Lyon, Hôpital Lyon Sud, Service de Chirurgie Orthopédique, 165 Chemin du Grand Revoyet, 69495 Pierre Benite Cedex, France - Univ de Lyon, Université Claude Bernard Lyon 1, Univ Gustave Eiffel, IFSTTAR, UMRT_9406, Laboratoire de Biomécanique et Mécanique des Chocs, 69622 Lyon, France.

Univ de Lyon, Université Claude Bernard Lyon 1, Univ Gustave Eiffel, IFSTTAR, UMRT_9406, Laboratoire de Biomécanique et Mécanique des Chocs, 69622 Lyon, France.

出版信息

SICOT J. 2020;6:27. doi: 10.1051/sicotj/2020025. Epub 2020 Jul 10.

DOI:10.1051/sicotj/2020025
PMID:32648849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7350691/
Abstract

Ilio-psoas impingement after total hip arthroplasty often occurs with the metallic rim of the acetabular cup. The main causes are poor cup anteversion or anterior wall defect. We firstly report here the case of a patient complaining of iliopsoas impingement due to contact with the liner of a dual-mobility device. Ultrasonography and Computed Tomographic scan clearly showed the direct mechanical contact of the dual-mobility liner with the iliopsoas tendon.

摘要

全髋关节置换术后髂腰肌撞击常发生于髋臼杯的金属边缘。主要原因是髋臼杯前倾角不当或前壁缺损。我们在此首次报告一例患者因与双动装置的内衬接触而出现髂腰肌撞击的病例。超声检查和计算机断层扫描清楚地显示了双动内衬与髂腰肌肌腱的直接机械接触。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/7350691/2041a603861a/sicotj-6-27-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/7350691/bb2d6bda9ace/sicotj-6-27-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/7350691/659113003c72/sicotj-6-27-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/7350691/2041a603861a/sicotj-6-27-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/7350691/bb2d6bda9ace/sicotj-6-27-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/7350691/659113003c72/sicotj-6-27-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/7350691/2041a603861a/sicotj-6-27-fig3.jpg

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2
Outcomes of cup revision for ilio-psoas impingement after total hip arthroplasty: Retrospective study of 46 patients.全髋关节置换术后髂腰肌撞击症的杯翻修结果：46 例回顾性研究。
Orthop Traumatol Surg Res. 2017 Dec;103(8):1147-1153. doi: 10.1016/j.otsr.2017.07.021. Epub 2017 Sep 22.
3
Iliopsoas Impingement After Primary Total Hip Arthroplasty: Operative and Nonoperative Treatment Outcomes.
初次全髋关节置换术后髂腰肌撞击症：手术及非手术治疗结果
J Bone Joint Surg Am. 2017 Apr 5;99(7):557-564. doi: 10.2106/JBJS.16.00244.
4
Analysis of Dual Mobility Liner Rim Damage Using Retrieved Components and Cadaver Models.使用回收部件和尸体模型分析双动衬垫边缘损伤
J Arthroplasty. 2016 Jul;31(7):1595-602. doi: 10.1016/j.arth.2015.12.032. Epub 2015 Dec 22.
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Reducing the distal profile of dual mobility liners can mitigate soft-tissue impingement and liner entrapment without affecting mechanical performance.减小双动衬垫的远端轮廓可以减轻软组织撞击和衬垫卡压，而不影响机械性能。
J Orthop Res. 2016 May;34(5):889-97. doi: 10.1002/jor.23078. Epub 2015 Nov 3.
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Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup.对100例使用第二代非骨水泥双动髋臼杯进行全髋关节置换术的患者进行前瞻性纵向研究。
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[Iliopsoas impingement in 12 patients with a total hip arthroplasty].[12例全髋关节置换患者的髂腰肌撞击症]
Rev Chir Orthop Reparatrice Appar Mot. 2001 Dec;87(8):820-5.
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[Conflict between psoas and total hip prosthesis].
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