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新一代陶瓷股骨头术后三天无创伤性骨折:一例报告。

Atraumatic Fracture of Newer Generation Ceramic Head Three Days Post-op: A Case Report.

作者信息

Brown Nicholas, Dundon John

机构信息

Orthopedic Surgery, Orthopaedic Research Institute of New Jersey, Bridgewater, USA.

Orthopedic Surgery, Tri-County Orthopedics, Bridgewater, USA.

出版信息

Cureus. 2024 Dec 4;16(12):e75100. doi: 10.7759/cureus.75100. eCollection 2024 Dec.

Abstract

A 73-year-old female experienced an atraumatic fracture of a BIOLOX delta ceramic femoral head following uncomplicated right total hip arthroplasty using a ceramic-on-polyethylene bearing. The fracture occurred post-operatively, as revealed by radiography after the patient reported a clunking sensation and leg shortening. Revision surgery involved replacing the fractured head and liner with careful removal of ceramic debris. The patient recovered well with no further complications. This case highlights the rare occurrence of an atraumatic fracture in a newer-generation BIOLOX delta ceramic head. This suggests possible manufacturing defects or taper mismatches and emphasizes the importance of thorough implant evaluation.

摘要

一名73岁女性在使用陶瓷对聚乙烯轴承进行无并发症的右全髋关节置换术后,出现了BIOLOX delta陶瓷股骨头的无创伤性骨折。骨折发生在术后,患者报告有卡顿感和腿部缩短后经X线检查发现。翻修手术包括更换骨折的股骨头和内衬,并仔细清除陶瓷碎片。患者恢复良好,无进一步并发症。该病例突出了新一代BIOLOX delta陶瓷头中罕见的无创伤性骨折情况。这提示可能存在制造缺陷或锥度不匹配,并强调了全面评估植入物的重要性。

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