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一例极为罕见的无骨水泥第三代Corail柄颈骨折及断口分析

An Extremely Rare Case of Cementless Third Generation Corail Stem Neck Fracture With Fractographic Analysis.

作者信息

Baljozovic Andreja, Glisic Dragomir, Radovic Nenad, Radovanović Zeljko, Bascarevic Zoran

机构信息

Institute of Orthopaedics Banjica, Belgrade, Serbia.

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Arthroplast Today. 2023 Jul 22;22:101176. doi: 10.1016/j.artd.2023.101176. eCollection 2023 Aug.

Abstract

The cementless Corail stem is one of the most frequently implanted stems and has undergone several design changes. Currently in use is the third generation, named Corail AMT. Until now, only one third-generation Corail stem neck fracture has been described in 2020. In our paper, we present an almost identical complication with an additional analysis of the fracture using a scanning electron microscope. The revision surgery consisted of changing the broken implant with a Corail revision stem, along with replacing the polyethylene liner and the femoral head with new one, after which the patient achieved a full recovery. According to the available literature, this is the second case of this extremely rare complication.

摘要

非骨水泥型Corail股骨柄是最常植入的股骨柄之一,并且经历了几次设计变更。目前使用的是第三代,名为Corail AMT。到目前为止,2020年仅有一例第三代Corail股骨柄颈部骨折的报道。在我们的论文中,我们展示了一个几乎相同的并发症,并使用扫描电子显微镜对骨折进行了额外分析。翻修手术包括用Corail翻修柄更换断裂的植入物,同时用新的聚乙烯内衬和股骨头进行替换,术后患者完全康复。根据现有文献,这是这种极其罕见并发症的第二例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/034c/10374864/85c1a048fb42/gr1.jpg

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