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复发性且影像学未识别的医源性人工髋关节假体脱位

Recurrent and radiographically unrecognized iatrogenic intra-prosthesis hip dislocations.

作者信息

Fox Olivia J K, Cairns Stephanie L, Jarman Paul G

机构信息

School of Medicine University of Notre Dame Darlinghurst New South Wales Australia.

Department of Orthopaedics Shoalhaven District Memorial Hospital Nowra New South Wales Australia.

出版信息

J Am Coll Emerg Physicians Open. 2020 May 10;1(4):419-422. doi: 10.1002/emp2.12050. eCollection 2020 Aug.

DOI:10.1002/emp2.12050
PMID:33000065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7493521/
Abstract

Hip dislocation is a common complication after total hip arthroplasty surgery. Newer prosthetic implants aim to reduce the risk of dislocation. The new dual mobility implant has a unique design that may result in intra-prosthetic dislocation. We report a case of a recurrently missed iatrogenic intra-prosthetic dislocation following closed reduction efforts in the emergency department (ED). Emergency physicians must be aware of the design, pitfalls, and management of this new prosthetic hip design.

摘要

髋关节脱位是全髋关节置换术后的常见并发症。新型假体植入物旨在降低脱位风险。新型双动式植入物具有独特设计，可能导致假体内部脱位。我们报告一例在急诊科进行闭合复位后反复漏诊的医源性假体内部脱位病例。急诊医生必须了解这种新型人工髋关节设计的特点、陷阱及处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d4/7493521/6ee87e0fa88c/EMP2-1-419-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d4/7493521/15c0f7a9965d/EMP2-1-419-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d4/7493521/4bcd8465e66c/EMP2-1-419-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d4/7493521/6ee87e0fa88c/EMP2-1-419-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d4/7493521/15c0f7a9965d/EMP2-1-419-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d4/7493521/4bcd8465e66c/EMP2-1-419-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d4/7493521/6ee87e0fa88c/EMP2-1-419-g003.jpg

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Arthroplast Today. 2024 Jan 16;25:101290. doi: 10.1016/j.artd.2023.101290. eCollection 2024 Feb.
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Dual mobility hip arthroplasty: iatrogenic intraprosthetic dislocation of a 22 mm head.

本文引用的文献

1
Intra-prosthetic dislocation of dual mobility hip prosthesis: an original and unusual complication.双动髋关节假体的假体内部脱位：一种罕见的并发症。
J Radiol Case Rep. 2019 May 31;13(5):15-23. doi: 10.3941/jrcr.v13i5.3465. eCollection 2019 May.
2
High Rate of Early Intraprosthetic Dislocations of Dual Mobility Implants: A Single Surgeon Series of Primary and Revision Total Hip Replacements.双动假体早期内置脱位率高：一位外科医生的初次和翻修全髋关节置换术系列。
J Arthroplasty. 2019 Nov;34(11):2793-2798. doi: 10.1016/j.arth.2019.06.003. Epub 2019 Jun 25.
3
Imaging evaluation of polyethylene liner dissociation in total hip arthroplasty.
双动髋关节置换术：22mm 头假体内置脱位的医源性损伤。
BMJ Case Rep. 2022 Mar 2;15(3):e245859. doi: 10.1136/bcr-2021-245859.
髋关节置换术后聚乙烯衬垫脱位的影像学评估。
Skeletal Radiol. 2019 Dec;48(12):1933-1939. doi: 10.1007/s00256-019-03232-x. Epub 2019 May 18.
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Early intraprosthetic dislocation in dual-mobility implants: a systematic review.双动式假体早期假体脱位：一项系统评价
Arthroplast Today. 2017 Feb 5;3(3):197-202. doi: 10.1016/j.artd.2016.12.002. eCollection 2017 Sep.
5
Acetabular Liner Dissociation following Total Hip Arthroplasty: A Rare but Serious Complication That May Be Easily Misinterpreted in the Emergency Department.全髋关节置换术后髋臼衬垫分离：一种罕见但严重的并发症，在急诊科可能容易被误诊。
Case Rep Emerg Med. 2015;2015:802753. doi: 10.1155/2015/802753. Epub 2015 Oct 12.
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Short-term wear evaluation of thin acetabular liners on 36-mm femoral heads.36mm 股骨头中薄型髋臼衬垫的短期磨损评估。
Clin Orthop Relat Res. 2014 Feb;472(2):624-9. doi: 10.1007/s11999-013-3153-x.
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The burden of hip osteoarthritis in the United States: epidemiologic and economic considerations.美国髋骨关节炎的负担：流行病学和经济学方面的考虑。
J Am Acad Orthop Surg. 2013;21 Suppl 1:S1-6. doi: 10.5435/JAAOS-21-07-S1.
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The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years.使用双关节髋臼杯系统预防初次全髋关节置换术后脱位：384例平均随访15年的分析
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