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本文引用的文献

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Metal or Modularity: Why Do Metal-Backed Tibias Have Inferior Outcomes to All-Polyethylene Tibial Components in Patients With Osteoarthritis.金属材质还是模块化设计:为何在骨关节炎患者中,金属背衬胫骨假体的治疗效果逊于全聚乙烯胫骨部件
J Arthroplasty. 2017 Mar;32(3):836-842. doi: 10.1016/j.arth.2016.09.036. Epub 2016 Oct 5.
2
Failure of tibial polyethylene insert locking mechanism in posterior stabilized arthroplasty.后稳定型关节置换术中胫骨聚乙烯衬垫锁定机制失效。
Knee Surg Sports Traumatol Arthrosc. 2013 Dec;21(12):2685-8. doi: 10.1007/s00167-012-2018-2. Epub 2012 May 1.
3
Spontaneous dislocation of a mobile-bearing polyethylene insert after posterior-stabilized rotating platform total knee arthroplasty: a case report.后稳定型旋转平台全膝关节置换术后活动型聚乙烯衬垫自发性脱位:一例报告
Knee. 2011 Dec;18(6):496-8. doi: 10.1016/j.knee.2010.10.007. Epub 2010 Nov 5.
4
Dissociation of polyethylene insert from the tibial baseplate following revision total knee arthroplasty.聚乙烯衬垫在翻修全膝关节置换术后从胫骨托板上分离。
J Arthroplasty. 2011 Feb;26(2):339.e11-3. doi: 10.1016/j.arth.2010.04.016. Epub 2010 May 31.
5
Polyethylene subluxation: a radiographic sign of locking mechanism failure after modular total knee arthroplasty.聚乙烯半脱位:模块化全膝关节置换术后锁定机制失效的放射学征象。
J Arthroplasty. 2011 Jan;26(1):98-102. doi: 10.1016/j.arth.2009.10.020. Epub 2010 Feb 4.
6
Acute locking in revision total knee arthroplasty due to disengagement of the locking screw.翻修全膝关节置换术中因锁定螺钉脱离导致的急性锁定
Knee Surg Sports Traumatol Arthrosc. 2005 Apr;13(3):190-2. doi: 10.1007/s00167-004-0552-2. Epub 2004 Oct 9.
7
Metal-backed and all-polyethylene tibial components in total knee replacement.全膝关节置换术中的金属背衬和全聚乙烯胫骨部件。
Clin Orthop Relat Res. 2001 Nov(392):174-83. doi: 10.1097/00003086-200111000-00021.
8
In vivo deterioration of tibial baseplate locking mechanisms in contemporary modular total knee components.当代模块化全膝关节组件中胫骨基板锁定机制的体内退变
J Bone Joint Surg Am. 2001 Nov;83(11):1660-5. doi: 10.2106/00004623-200111000-00007.
9
Tibial insert undersurface as a contributing source of polyethylene wear debris.胫骨假体衬垫下表面作为聚乙烯磨损颗粒的一个成因来源。
Clin Orthop Relat Res. 1997 Dec(345):53-9.
10
Screw osteolysis after cementless total knee replacement.非骨水泥型全膝关节置换术后螺钉骨质溶解
Clin Orthop Relat Res. 1995 Dec(321):173-7.

全膝关节置换术中胫骨插入物锁定销脱离——一例罕见的失败病例报告。

Disengagement of tibial insert locking pin in total knee arthroplasty - A rare failure case report.

作者信息

Jindal Sanjeev, Bansal Vivek, Ahmed Mannan

机构信息

Neelam Superspeciality Hospital, Rajpura, India.

Punjab Cancer Care Hospital, Bathinda, India.

出版信息

J Clin Orthop Trauma. 2022 Aug 21;33:101996. doi: 10.1016/j.jcot.2022.101996. eCollection 2022 Oct.

DOI:10.1016/j.jcot.2022.101996
PMID:36089994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9449639/
Abstract

Total Knee Arthroplasty (TKA) has seen many advancements over the years. One such advancement is development of locking mechanism for polyethylene insert in modular implants. It aims to reduce micro motion and wear problems. Disengagement of locking pin from insert after primary TKA without trauma is rare complication. The author describes a rare case of disengagement of the polyethylene insert locking pin in primary total knee arthroplasty. Disengagement of the locking clip was observed 8 months after index operation without any trauma.

摘要

多年来,全膝关节置换术(TKA)取得了许多进展。其中一项进展是在模块化植入物中开发了用于聚乙烯内衬的锁定机制。其目的是减少微动和磨损问题。初次全膝关节置换术后锁定销无创伤地从内衬脱离是一种罕见的并发症。作者描述了一例初次全膝关节置换术中聚乙烯内衬锁定销脱离的罕见病例。在初次手术8个月后,在没有任何创伤的情况下观察到锁定夹脱离。