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模块化牢固固定型髋关节翻修柄骨折：一例报告及文献综述

Modular Well-Fixed Hip Revision Stem Fracture: A Case Report and Literature Review.

作者信息

Pessina Fabio, Cazzaniga Carlo, Manzini Beatrice, Cardile Carlo

机构信息

Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Department of Orthopedics and Trauma Surgery, ASST Rhodense, Ospedale Salvini, Garbagnate Milanese, Milano, Italy.

出版信息

Arch Bone Jt Surg. 2024;12(10):735-741. doi: 10.22038/ABJS.2024.80313.3666.

DOI:10.22038/ABJS.2024.80313.3666
PMID:39478845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11519420/
Abstract

This study presents a case of repeated prosthetic fractures in a modular hip prosthesis in a 56-year-old male patient. After the initial implantation of a modular total hip prosthesis in 2006, the patient experienced two instances of prosthetic implant fractures over seventeen years. In this study, we analyze the clinical case, explore potential underlying causes of this complication, and delve into current indications and strategies for the revision of fractured prosthesis stems. The discussion is informed by a literature review and underscores the significance of selecting appropriate revision techniques to address this challenge.

摘要

本研究报告了一例56岁男性患者模块化髋关节假体反复发生假体骨折的病例。2006年首次植入模块化全髋关节假体后，该患者在十七年中经历了两次假体植入物骨折。在本研究中，我们分析了该临床病例，探讨了这种并发症的潜在根本原因，并深入研究了目前骨折假体柄翻修的适应症和策略。讨论以文献综述为依据，并强调选择合适的翻修技术来应对这一挑战的重要性。

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本文引用的文献

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Arch Bone Jt Surg. 2024;12(4):240-244. doi: 10.22038/ABJS.2023.75373.3485.
2
The "Inside-Out" Anterior Osteotomy of the Proximal Femur via the Direct Anterior Approach in Revision Hip Arthroplasty.翻修髋关节置换术中经直接前路入路的股骨近端“由内向外”前截骨术
Arthroplast Today. 2023 Oct 16;24:101219. doi: 10.1016/j.artd.2023.101219. eCollection 2023 Dec.
3
Total hip arthroplasty monobloc stem neck rupture in patient with massive heterotopic ossifications: a case report and literature review.
全髋关节置换术单块柄颈部断裂在伴有大量异位骨化患者中的病例报告及文献综述
Acta Biomed. 2023 Jun 23;94(S2):e2023117. doi: 10.23750/abm.v94iS2.13888.
4
Fracture of femoral neck in modular total hip arthroplasty: a systematic review of the literature.髋关节置换术后股骨颈骨折：文献系统回顾。
Hip Int. 2024 May;34(3):409-420. doi: 10.1177/11207000231211253. Epub 2023 Nov 6.
5
Revision Hip Arthroplasty Using a Modular, Cementless Femoral Stem: Long-Term Follow-Up.使用模块化、非骨水泥股骨柄进行髋关节翻修：长期随访。
J Arthroplasty. 2023 May;38(5):903-908. doi: 10.1016/j.arth.2022.12.018. Epub 2022 Dec 16.
6
Modular neck stems in total hip arthroplasty: current concepts.全髋关节置换术中的模块化颈干：当前概念
EFORT Open Rev. 2021 Sep 14;6(9):751-758. doi: 10.1302/2058-5241.6.200064. eCollection 2021 Sep.
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Femoral Stem Fracture in Hip Revision Arthroplasty: A Systematic Literature Review of the Real-World Evidence.髋关节翻修术中股骨柄骨折：真实世界证据的系统文献回顾。
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Trochanteric osteotomy in revision total hip arthroplasty.翻修全髋关节置换术中的转子截骨术
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