全膝关节置换术后通过大面积溶骨病变造成假体周围股骨骨折

IF 1.5 Q3 ORTHOPEDICS Arthroplasty Today Pub Date : 2024-10-14 DOI:10.1016/j.artd.2024.101446

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引用次数: 0

摘要

聚乙烯磨损导致的骨溶解是众所周知的全膝关节置换术（TKA）并发症。在此，我们介绍一例鲜有报道的失败病例。我们报告了一名 51 岁男性的病例，他在接受过一次 TKA 后，因股骨大面积溶骨病变而骨折。患者在翻修 TKA 4 年后因摔倒而就诊，发现骨折是通过大的病灶造成的。经过诊断检查后，他接受了股骨远端骨折切开复位内固定术（ORIF）治疗，并用骨化股骨头同种异体移植物和ViviGen（弗吉尼亚州弗吉尼亚海滩的LifeNet Health公司）增强了固定。聚乙烯磨损引起的骨溶解和对关节成形组件的反应一直是全膝关节置换术的并发症。

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

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.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.