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非骨水泥全膝关节置换术中多孔涂层胫骨部件固定的影像学与组织学研究

Radiographic and histologic study of porous coated tibial component fixation in cementless total knee arthroplasty.

作者信息

Engh G A, Bobyn J D, Petersen T L

机构信息

Anderson Orthopedic Research Institute, Arlington, VA 22206.

出版信息

Orthopedics. 1988 May;11(5):725-31. doi: 10.3928/0147-7447-19880501-10.

DOI:10.3928/0147-7447-19880501-10
PMID:3399443
Abstract

Radiographic changes occurring beneath three types of non-cemented, porous coated, cobalt-chrome tibial components were retrospectively reviewed a minimum of 1 year after arthroplasty. Radiolucent zones, radiodense lines, and loose sintered particles were commonly observed. These changes are consistent with non-rigid, fibrous tissue fixation. Histologic evaluation of two specimens retrieved at revision surgery revealed predominantly fibrous tissue within the porous surface under the tibial plateau. The long-term implication of fibrous tissue fixation of porous coated tibial implants in unknown.

摘要

对三种非骨水泥型、多孔涂层钴铬合金胫骨部件植入后至少1年的影像学变化进行了回顾性研究。常见透亮区、致密线和松散的烧结颗粒。这些变化与非刚性纤维组织固定一致。翻修手术取出的两个标本的组织学评估显示,胫骨平台下方多孔表面主要为纤维组织。多孔涂层胫骨植入物纤维组织固定的长期影响尚不清楚。

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J Arthroplasty. 2015 Jun;30(6):1073-8. doi: 10.1016/j.arth.2015.01.010. Epub 2015 Jan 22.