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全膝关节置换术后经大溶骨性病变的人工关节周围股骨骨折

Periprosthetic Femur Fracture Through a Large Osteolytic Lesion After Total Knee Arthroplasty.

作者信息

Prough Haley, Mesko Daniel

机构信息

Department of Orthopaedic Surgery, McLaren Greater Lansing, Lansing, MI, USA.

Michigan Orthopedic Center, Lansing, MI, USA.

出版信息

Arthroplast Today. 2024 Oct 14;30:101446. doi: 10.1016/j.artd.2024.101446. eCollection 2024 Dec.

DOI:10.1016/j.artd.2024.101446
PMID:39484092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11526048/
Abstract

Osteolysis due to polyethylene wear is a well-known complication associated with total knee arthroplasty (TKA). Here, we present the case of one failure that has been rarely reported. We report the case of a 51-year-old male who fractured through a large osteolytic lesion in his femur after a previous TKA. The patient presented 4 years after revision TKA after a fall and was found to have fractured through the large lesion. After a diagnostic workup, he was treated with open reduction and internal fixation (ORIF) of the distal femur fracture, and the fixation was augmented with a morselized femoral head allograft and ViviGen (LifeNet Health, Virginia Beach, VA). Osteolysis secondary to polyethylene wear and reactions to arthroplasty components continues to be an ever-present complication of TKAs.

摘要

聚乙烯磨损导致的骨溶解是全膝关节置换术（TKA）的一种常见并发症。在此，我们报告一例罕见的失败病例。我们报告了一名51岁男性的病例，该患者在先前的全膝关节置换术后，股骨出现一个大的溶骨性病变并发生骨折。患者在翻修全膝关节置换术后4年因跌倒就诊，发现通过大的病变处发生骨折。经过诊断检查后，他接受了股骨远端骨折的切开复位内固定术（ORIF），并使用了碎骨股骨头同种异体骨和ViviGen（LifeNet Health，弗吉尼亚海滩，弗吉尼亚州）进行增强固定。聚乙烯磨损继发的骨溶解以及对关节置换部件的反应仍然是全膝关节置换术一直存在的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/16728171d938/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/c3f89209144e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/31b749deb293/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/d472fb000ea9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/16728171d938/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/c3f89209144e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/31b749deb293/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/d472fb000ea9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bf4/11526048/16728171d938/gr4.jpg

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本文引用的文献

1
Ultra-high molecular weight polyethylene (UHMWPE) for hip and knee arthroplasty: The present and the future.用于髋关节和膝关节置换术的超高分子量聚乙烯（UHMWPE）：现状与未来。
J Orthop. 2021 Apr 23;25:98-106. doi: 10.1016/j.jor.2021.04.004. eCollection 2021 May-Jun.
2
Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty.全膝关节置换术后股骨的巨大溶骨性病变。
Arthroplast Today. 2020 Jun 28;6(3):463-469. doi: 10.1016/j.artd.2020.05.016. eCollection 2020 Sep.
3
Evaluating the progression of osteolysis after total knee arthroplasty.
评估全膝关节置换术后骨溶解的进展情况。
J Am Acad Orthop Surg. 2015 Mar;23(3):173-80. doi: 10.5435/JAAOS-D-13-00189. Epub 2015 Feb 9.
4
Osteolysis around total knee arthroplasty: a review of pathogenetic mechanisms.全膝关节置换术后骨溶解：发病机制的综述。
Acta Biomater. 2013 Sep;9(9):8046-58. doi: 10.1016/j.actbio.2013.05.005. Epub 2013 May 10.
5
[Pathologic fracture of the distal femur in total knee arthroplasty. Polyethylene-wear-induced osteolysis? A case report].
Orthopade. 2009 Oct;38(10):970, 972-3. doi: 10.1007/s00132-009-1463-1.
6
How have new sterilization techniques and new forms of polyethylene influenced wear in total joint replacement?
J Am Acad Orthop Surg. 2008;16 Suppl 1:S80-5. doi: 10.5435/00124635-200800001-00017.
7
Pathologic supracondylar fracture due to osteolytic pseudotumor of knee following cementless total knee replacement.非骨水泥型全膝关节置换术后膝关节溶骨性假瘤导致的病理性髁上骨折。
J Biomed Mater Res. 1998 Winter;43(4):473-7. doi: 10.1002/(sici)1097-4636(199824)43:4<473::aid-jbm16>3.0.co;2-9.
8
Supracondylar fracture of the femur associated with polyethylene wear after total knee arthroplasty. A case report.全膝关节置换术后股骨髁上骨折与聚乙烯磨损相关。病例报告。
J Bone Joint Surg Am. 1994 Sep;76(9):1389-93. doi: 10.2106/00004623-199409000-00015.
9
Osteolytic cyst-like area associated with polyethylene and metallic debris after total knee replacement with an uncemented vitallium prosthesis. A case report.
J Bone Joint Surg Am. 1992 Aug;74(7):1096-101.