全髋关节置换术中陶瓷假体骨折后的皮肤金属病:一例报告及陶瓷对陶瓷轴承偶的修正。

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2025-01-01 Epub Date: 2025-03-07 DOI:10.1051/sicotj/2025007
Vasileios Giovanoulis, Angelo V Vasiliadis, Simon Marmor
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引用次数: 0

摘要

全髋关节置换术中陶瓷骨折是一种罕见的并发症,对翻修手术提出了重大挑战。本病例报告描述了一名68岁男性,在首次THA术后四年发生自发性氧化铝(陶瓷)植入物和头部骨折。使用钴铬和聚乙烯成分的第一次修订导致严重的金属中毒,包括皮下组织变色。第二次修复使用了陶瓷对陶瓷(CoC)轴承偶,产生了良好的功能效果和症状的解决。tha后皮肤色素沉着是罕见的,以前没有报道过陶瓷骨折后的皮肤色素沉着。该病例强调了在翻修手术中谨慎选择材料的必要性,以尽量减少并发症,如金属中毒。在这种情况下,使用陶瓷对陶瓷轴承的决定被证明是有效的,既确保了耐用性,又降低了第三体磨损的风险,而第三体磨损可能由于陶瓷骨折处理不当而导致关节、全身或皮肤并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cutaneous metallosis following ceramic insert fracture in total hip arthroplasty: a case report and revision with ceramic-on-ceramic bearing couple.

Ceramic fractures in total hip arthroplasty (THA) are rare complications that pose significant challenges for revision surgery. This case report describes a 68-year-old male who experienced a spontaneous alumina (ceramic) insert and head fracture four years after the initial THA. The first revision with cobalt-chrome and polyethylene components led to severe metallosis, including subcutaneous tissue discoloration. A second revision utilized a ceramic-on-ceramic (CoC) bearing couple, resulting in excellent functional outcomes and resolution of symptoms. Cutaneous pigmentation post-THA is rare and has not been previously reported following a ceramic fracture. The case underscores the need for careful material selection in revision surgery to minimize complications such as metallosis. The decision to use a ceramic-on-ceramic bearing couple in this case proved effective, ensuring durability and reducing the risk of third-body wear, which can result from inadequate management of ceramic fractures and lead to joint, systemic, or cutaneous complications.

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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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