The Management Modality of Aseptic Loosening for Acetabular Components Along With Femur Prostheses Following Primary Hip Arthroplasty: A Reports of Four Cases.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2025-03-05 eCollection Date: 2025-01-01 DOI:10.2147/IMCRJ.S506741
Hongxia Zhu, Lei Fu, Yu Xie, Xiao Yuan, Shengtao Chen, Lunli Xie
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引用次数: 0

Abstract

Purpose: Aseptic loosening (AL) of prostheses is a complex and multi-factorial consequences characterized by nonspecific hip start-up pain, impaired gait, or ambulation. The AL of acetabular components associated with femur prostheses can lead to challenges in accurate diagnosis and suitable therapy, potentially resulting in disaster consequence. This study reported revision of in four cases with AL of acetabular components associated with or without femur prostheses after underwent primary total hip arthroplasty.

Case description: We present four cases with aseptic loosening of prostheses with a medical history of total hip arthroplasty who presented obvious clinical features of recurrent hip pain or "start-up" pain, limping gait, and worsening of walking. Basing on preoperative imaging materials, and ruling out prosthetic joint infection, the comprehensive analysis revealed migration and radiolucency line around margin of prosthesis, confirming the diagnosis of prosthetic AL. All patients accepted individual revision surgery and acquired satisfactory results basing on the month telephone follow-up duration.

Conclusion: Our case report suggests long femur stem associated with wires cerclage fixation combined with or without bone graft revision for treatment of aseptic loosening of the acetabular components coupled with femur prostheses is a viable technique for achieving reliable fracture healing and satisfactory clinical results. Besides, it is the critical need for individualized approaches to therapeutic method, uniquely intended to address the complexity of this AL after THA.

原发性髋关节置换术后髋臼组件和股骨假体无菌性松动的处理方式:四例病例报告。
目的:假体无菌性松动(AL)是一种复杂的多因素后果,其特征是非特异性髋关节启动疼痛,步态或行走受损。与股骨假体相关的髋臼假体AL给准确诊断和适当治疗带来挑战,可能导致灾难性后果。本研究报道了4例初次全髋关节置换术后伴有或不伴有股骨假体的髋臼假体AL的翻修。病例描述:我们报告了4例假体无菌性松动,有全髋关节置换术史的患者,他们表现出明显的临床特征,复发性髋关节疼痛或“启动”疼痛,步态跛行,行走恶化。根据术前影像学资料,排除假体关节感染,综合分析发现假体缘周围有迁移和放射线,确认假体AL的诊断。所有患者均接受个体化翻修手术,根据一个月的电话随访时间,获得满意的结果。结论:我们的病例报告表明,股骨长柄联合金属丝环固定联合或不联合植骨翻修联合股骨假体治疗髋臼假体无菌性松动是一种可行的技术,可以获得可靠的骨折愈合和满意的临床结果。此外,迫切需要个性化的治疗方法,以解决THA后AL的复杂性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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