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现代非骨水泥型模块化带槽锥形柄近端体骨折

Fracture of the Proximal Body of a Modern Cementless Modular Fluted Tapered Stem.

作者信息

Chung Brian C, Kumaran Pranit, Heckmann Nathanael D, Oakes Daniel A

机构信息

Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.

出版信息

Arthroplast Today. 2024 Aug 2;29:101472. doi: 10.1016/j.artd.2024.101472. eCollection 2024 Oct.

DOI:10.1016/j.artd.2024.101472
PMID:39185401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344007/
Abstract

Previous reports have described failures of modular fluted tapered femoral stems secondary to fatigue failure at the modular junction. However, the present study is the first reported case of modular fluted tapered femoral component failure involving atraumatic fracture of the proximal body following revision total hip arthroplasty. The failure occurred in a 52-year-old female with a history of postmenopausal osteoporosis on bisphosphonates who sustained an atraumatic fracture of the proximal body of a modular revision femoral stem. In the present case, revision THA utilizing a wider proximal body segment with proximal augmentation using strut allografts for biological and mechanical support provided the patient with a stable construct at 30-month follow-up.

摘要

既往报道描述了模块化带槽锥形股骨柄因模块化连接处疲劳失效而出现故障。然而，本研究是首例报道的模块化带槽锥形股骨组件故障，发生在翻修全髋关节置换术后近端主体出现非创伤性骨折。该故障发生在一名52岁女性身上，她有绝经后骨质疏松症病史，正在服用双膦酸盐，其模块化翻修股骨柄近端主体出现了非创伤性骨折。在本病例中，翻修全髋关节置换术采用了更宽的近端主体段，并使用支撑异体骨进行近端增强以提供生物和机械支持，在30个月的随访中为患者提供了稳定的结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/5f0a6d4f3d02/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/1447fed42b74/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/e654a431850f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/1898d6316dca/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/7d10c8234a7c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/452030341aba/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/7db11d1ae2e6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/5f0a6d4f3d02/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/1447fed42b74/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/e654a431850f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/1898d6316dca/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/7d10c8234a7c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/452030341aba/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/7db11d1ae2e6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c41/11344007/5f0a6d4f3d02/gr7.jpg

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J Arthroplasty. 2023 Jul;38(7S):S229-S234.e1. doi: 10.1016/j.arth.2023.04.020. Epub 2023 Apr 20.
2
Modular Fluted Tapered Stems for Periprosthetic Femoral Fractures: Excellent Results in 171 Cases.模块化带槽锥形柄治疗股骨假体周围骨折：171 例的良好结果。
J Bone Joint Surg Am. 2022 Jul 6;104(13):1188-1196. doi: 10.2106/JBJS.21.01168. Epub 2022 May 23.
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Long-Term Outcomes of Revision Total Hip Arthroplasty Using a Tapered and Fluted Modular Stem: A Mean Follow-Up of 16 Years.
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The different failure modes of the connecting elements of the modular hip arthroplasty revision stem Revitan.模块化髋关节翻修柄 Revitan 的连接元件的不同失效模式。
J Mech Behav Biomed Mater. 2021 Nov;123:104778. doi: 10.1016/j.jmbbm.2021.104778. Epub 2021 Aug 12.
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