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非骨水泥型钛股骨柄假体颈部骨折

Prosthetic Neck Fracture of a Cementless Titanium Femoral Stem.

作者信息

Malhame Zakhia Michael, Lamnaouar Fouad, Abou Chaaya Abdel Massih

机构信息

Orthopedics and Traumatology, Centre Hospitalier Victor Dupouy, Argenteuil, FRA.

Orthopedics and Traumatology, Holy Spirit University of Kaslik, Byblos, LBN.

出版信息

Cureus. 2024 Oct 15;16(10):e71508. doi: 10.7759/cureus.71508. eCollection 2024 Oct.

DOI:10.7759/cureus.71508
PMID:39544571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11561529/
Abstract

This case report presents a unique instance of a prosthetic neck fracture in an 81-year-old male with a CERAVER CERAFIT titanium (Ti6Al4V) femoral implant paired with a ceramic-on-ceramic total hip replacement. No fractures of the neck of a titanium femoral stem coated with hydroxy-apatite have been reported in the literature for this type of implant. The patient experienced a sudden, non-traumatic fracture, many years after his primary surgery. The report discusses the clinical presentation, diagnostic findings, known risk factors for femoral neck implant fractures, surgical management, and the outcome.

摘要

本病例报告呈现了一例独特的病例，一名81岁男性患者的人工股骨颈骨折，其使用的是CERAVER CERAFIT钛合金（Ti6Al4V）股骨植入物，并搭配陶瓷对陶瓷全髋关节置换。文献中尚未报道过此类涂层有羟基磷灰石的钛合金股骨干颈骨折。该患者在初次手术后多年发生了一次突发的、非创伤性骨折。报告讨论了临床表现、诊断结果、已知的股骨颈植入物骨折风险因素、手术治疗及预后情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/72ab735af610/cureus-0016-00000071508-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/b7f536b84e91/cureus-0016-00000071508-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/32f642686ec0/cureus-0016-00000071508-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/926fb0ee8135/cureus-0016-00000071508-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/72ab735af610/cureus-0016-00000071508-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/b7f536b84e91/cureus-0016-00000071508-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/32f642686ec0/cureus-0016-00000071508-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/926fb0ee8135/cureus-0016-00000071508-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc1/11561529/72ab735af610/cureus-0016-00000071508-i04.jpg

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本文引用的文献

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Risk factors for femoral stem fracture following total hip arthroplasty: a systematic review and meta analysis.全髋关节置换术后股骨柄骨折的危险因素：系统评价和荟萃分析。
Arch Orthop Trauma Surg. 2024 May;144(5):2421-2428. doi: 10.1007/s00402-024-05281-x. Epub 2024 Apr 12.
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Epidemiology of total hip arthroplasty: demographics, comorbidities and outcomes.全髋关节置换术的流行病学：人口统计学、合并症及结果
Arthroplasty. 2023 Jan 3;5(1):2. doi: 10.1186/s42836-022-00156-1.
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Risk Factors Associated With Femorotomy or Fracture During Cementless Stem Removal and Generation of an Individual Predictive Risk Score.
非骨水泥型柄取出过程中股骨切开术或骨折的相关危险因素及个体预测风险评分的生成
J Arthroplasty. 2023 Feb;38(2):341-346.e2. doi: 10.1016/j.arth.2022.09.012. Epub 2022 Sep 16.
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Femoral prosthesis neck fracture following total hip arthroplasty - a systematic review.全髋关节置换术后股骨假体颈部骨折——一项系统评价
Arthroplasty. 2020 Oct 16;2(1):28. doi: 10.1186/s42836-020-00047-3.
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Fracture of the Neck of a Modern Cementless, Titanium Femoral Stem.现代非骨水泥型钛合金股骨柄颈部骨折
Arthroplast Today. 2020 May 11;6(2):176-179. doi: 10.1016/j.artd.2020.04.004. eCollection 2020 Jun.
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Choice of implant combinations in total hip replacement: systematic review and network meta-analysis.全髋关节置换中植入物组合的选择：系统评价与网状Meta分析
BMJ. 2017 Nov 2;359:j4651. doi: 10.1136/bmj.j4651.
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Catastrophic Femoral Head-Stem Trunnion Dissociation Secondary to Corrosion.继发于腐蚀的灾难性股骨头-柄部耳轴解离
J Bone Joint Surg Am. 2016 Aug 17;98(16):1400-4. doi: 10.2106/JBJS.15.00914.
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Modular versus nonmodular neck femoral implants in primary total hip arthroplasty: which is better?在初次全髋关节置换术中，模块化与非模块化颈股骨假体：哪个更好？
Clin Orthop Relat Res. 2014 Apr;472(4):1240-5. doi: 10.1007/s11999-013-3361-4. Epub 2013 Nov 2.
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Prosthetic component failures in hip arthroplasty surgery.
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