• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

双极半髋关节置换术中股骨柄严重失效；对短股骨柄的担忧：一例报告

Gross Trunnion Failure in the Bipolar Hemiarthroplasty; Raising Concern about Short Trunnion: A Case Report.

作者信息

Kim Kangbaek, Lee Junpyo, Yoo Jeong Joon, Kim Hee Joong

机构信息

Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea.

出版信息

Hip Pelvis. 2021 Mar;33(1):40-44. doi: 10.5371/hp.2021.33.1.40. Epub 2021 Mar 2.

DOI:10.5371/hp.2021.33.1.40
PMID:33748025
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7952271/
Abstract

There have been some reports of gross trunnion failure (GTF) in total hip arthroplasty. Here, we report a case of GTF 19 years after bipolar hemiarthroplasty using a 28-mm head with a 14/16 taper bore. Compared to other GTF reports, the current case had some unusual aspects: bipolar hemiarthroplasty, 28-mm head, relatively late-onset, and no apparent findings of metallosis though a severe one was evident. A Computed tomography scout view provided valuable information in evaluating polyethylene, metal head, and neck inside the bipolar cup. The current report suggests a need for concerned regarding short trunnion length which may be associated with GTF.

摘要

全髋关节置换术中已有一些关于股骨柄严重失效（GTF）的报道。在此，我们报告一例在使用28毫米股骨头和14/16锥孔的双极半髋关节置换术后19年发生GTF的病例。与其他GTF报告相比，本病例有一些不寻常之处：双极半髋关节置换术、28毫米股骨头、相对较晚发病，且尽管有严重的GTF，但无明显金属沉着病表现。计算机断层扫描定位像在评估双极髋臼杯内的聚乙烯、金属股骨头和股骨颈方面提供了有价值的信息。本报告提示需要关注可能与GTF相关的短股骨柄长度问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/051e864fe24d/hp-33-40-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/de691b8edade/hp-33-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/110fa33e7885/hp-33-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/bff444e91691/hp-33-40-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/051e864fe24d/hp-33-40-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/de691b8edade/hp-33-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/110fa33e7885/hp-33-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/bff444e91691/hp-33-40-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/7952271/051e864fe24d/hp-33-40-g004.jpg

相似文献

1
Gross Trunnion Failure in the Bipolar Hemiarthroplasty; Raising Concern about Short Trunnion: A Case Report.双极半髋关节置换术中股骨柄严重失效；对短股骨柄的担忧：一例报告
Hip Pelvis. 2021 Mar;33(1):40-44. doi: 10.5371/hp.2021.33.1.40. Epub 2021 Mar 2.
2
Gross trunnion failure after a metal-on-polyethylene total hip arthroplasty leading to dissociation at the femoral head-trunnion interface.金属对聚乙烯全髋关节置换术后出现大转子严重失效，导致股骨头与大转子界面分离。
Arthroplast Today. 2019 Mar 13;5(1):5-10. doi: 10.1016/j.artd.2019.02.001. eCollection 2019 Mar.
3
Gross trunnion failure in metal on polyethylene total hip arthroplasty-a systematic review of literature.金属对聚乙烯全髋关节置换术后大粗隆失败：文献系统回顾。
Int Orthop. 2020 Apr;44(4):609-621. doi: 10.1007/s00264-019-04474-z. Epub 2020 Jan 4.
4
Trunnion Failure of the Recalled Low Friction Ion Treatment Cobalt Chromium Alloy Femoral Head.召回的低摩擦离子处理钴铬合金股骨头的耳轴故障
J Arthroplasty. 2017 Sep;32(9):2857-2863. doi: 10.1016/j.arth.2017.03.075. Epub 2017 Apr 8.
5
Trunnion fracture of femoral prosthesis following a large metal-on-metal uncemented total hip arthroplasty: a case report.大型金属对金属非骨水泥型全髋关节置换术后股骨假体耳轴骨折：一例报告
Arthroplasty. 2020 Oct 28;2(1):32. doi: 10.1186/s42836-020-00055-3.
6
Impending Trunnion Failure: An Uncommon Radiographic Presentation of Total Hip Arthroplasty Failure.即将发生的耳轴失败：全髋关节置换术失败的一种罕见影像学表现。
Arthroplast Today. 2021 Feb 9;7:230-234. doi: 10.1016/j.artd.2020.12.015. eCollection 2021 Feb.
7
Otto Aufranc Award: Large Heads Do Not Increase Damage at the Head-neck Taper of Metal-on-polyethylene Total Hip Arthroplasties.奥托·奥夫兰克奖：大头不会增加金属对聚乙烯全髋关节置换术头颈锥度处的损伤。
Clin Orthop Relat Res. 2016 Feb;474(2):330-8. doi: 10.1007/s11999-015-4468-6.
8
Shorter, rough trunnion surfaces are associated with higher taper wear rates than longer, smooth trunnion surfaces in a contemporary large head metal-on-metal total hip arthroplasty system.在当代大头金属对金属全髋关节置换系统中，较短且粗糙的耳轴表面比较长且光滑的耳轴表面具有更高的锥度磨损率。
J Orthop Res. 2015 Dec;33(12):1868-74. doi: 10.1002/jor.22970. Epub 2015 Jul 25.
9
Does the Additional Articulation in Retrieved Bipolar Hemiarthroplasty Implants Decrease Trunnionosis Compared to Total Hip Arthroplasty?取出的双极半髋关节假体中的附加关节是否比全髋关节置换术降低了股骨柄假体的中心性脱位率？
J Arthroplasty. 2018 Jan;33(1):268-272. doi: 10.1016/j.arth.2017.08.027. Epub 2017 Aug 31.
10
A Case Report and Literature Review to Aid in the Management of Trunnion Failure in Hip Arthroplasty Patients: Can Trunnionosis and Prosthetic Joint Infection Co-Exist?一例髋关节置换患者耳轴失效管理的病例报告及文献综述：耳轴病与人工关节感染能否共存？
Cureus. 2019 Aug 31;11(8):e5544. doi: 10.7759/cureus.5544.

引用本文的文献

1
Frequency of safety signals from scientific reports, manufactures, registers, and other sources for a random selection of hip and knee prostheses.从科学报告、制造商、登记处及其他来源获取的关于随机抽取的髋关节和膝关节假体安全信号的频率。
Acta Orthop. 2025 Jun 25;96:460-466. doi: 10.2340/17453674.2025.44035.

本文引用的文献

1
Gross trunnion failure in metal on polyethylene total hip arthroplasty-a systematic review of literature.金属对聚乙烯全髋关节置换术后大粗隆失败：文献系统回顾。
Int Orthop. 2020 Apr;44(4):609-621. doi: 10.1007/s00264-019-04474-z. Epub 2020 Jan 4.
2
Does the Additional Articulation in Retrieved Bipolar Hemiarthroplasty Implants Decrease Trunnionosis Compared to Total Hip Arthroplasty?取出的双极半髋关节假体中的附加关节是否比全髋关节置换术降低了股骨柄假体的中心性脱位率？
J Arthroplasty. 2018 Jan;33(1):268-272. doi: 10.1016/j.arth.2017.08.027. Epub 2017 Aug 31.
3
Trunnionosis in total hip arthroplasty: a review.
全髋关节置换术中的股骨柄松动：综述
J Orthop Traumatol. 2016 Mar;17(1):1-6. doi: 10.1007/s10195-016-0391-1. Epub 2016 Feb 11.
4
Large Metal Heads and Vitamin E Polyethylene Increase Frictional Torque in Total Hip Arthroplasty.大金属股骨头和维生素E聚乙烯会增加全髋关节置换术中的摩擦扭矩。
J Arthroplasty. 2016 Mar;31(3):710-4. doi: 10.1016/j.arth.2015.09.020. Epub 2015 Sep 30.
5
Shorter, rough trunnion surfaces are associated with higher taper wear rates than longer, smooth trunnion surfaces in a contemporary large head metal-on-metal total hip arthroplasty system.在当代大头金属对金属全髋关节置换系统中，较短且粗糙的耳轴表面比较长且光滑的耳轴表面具有更高的锥度磨损率。
J Orthop Res. 2015 Dec;33(12):1868-74. doi: 10.1002/jor.22970. Epub 2015 Jul 25.
6
Taperosis: Does head length affect fretting and corrosion in total hip arthroplasty?锥形磨损：在全髋关节置换术中，头部长度会影响微动和腐蚀吗？
Bone Joint J. 2015 Jul;97-B(7):911-6. doi: 10.1302/0301-620X.97B7.35149.
7
Effect of Taper Design on Trunnionosis in Metal on Polyethylene Total Hip Arthroplasty.锥形设计对金属对聚乙烯全髋关节置换术中柄部疾病的影响。
J Arthroplasty. 2015 Jul;30(7):1269-72. doi: 10.1016/j.arth.2015.02.031. Epub 2015 Feb 28.
8
Trunnion-Head Stresses in THA: Are Big Heads Trouble?全髋关节置换术中耳轴头应力：大头会带来麻烦吗？
J Arthroplasty. 2015 Jun;30(6):1085-8. doi: 10.1016/j.arth.2015.01.021. Epub 2015 Jan 21.
9
Variations in the trunnion surface topography between different commercially available hip replacement stems.不同市售髋关节置换柄的耳轴表面形貌差异。
J Orthop Res. 2015 Jan;33(1):98-105. doi: 10.1002/jor.22741. Epub 2014 Oct 15.
10
Modern trunnions are more flexible: a mechanical analysis of THA taper designs.现代耳轴更加灵活：全髋关节置换术锥度设计的力学分析
Clin Orthop Relat Res. 2014 Dec;472(12):3963-70. doi: 10.1007/s11999-014-3965-3. Epub 2014 Sep 30.