全膝关节置换术后聚乙烯衬垫突起柱断裂翻修1例

doi:10.3877/cma.j.issn.1674-134X.2020.04.023

中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (04) : 516 -517. doi: 10.3877/cma.j.issn.1674-134X.2020.04.023

所属专题：经典病例；文献；

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全膝关节置换术后聚乙烯衬垫突起柱断裂翻修1例

朱晓龙¹^,^†(

), 陈多军¹, 宋修刚², 姜红江²

^1. 232000　淮南朝阳医院骨二科
^2. 264400　威海，山东省文登整骨医院关节三科

收稿日期:2019-11-14 出版日期:2020-08-01
通信作者: 朱晓龙

Revision of broken protruded column of polyethylene liner following total knee arthroplasty

Xiaolong Zhu¹(), Duojun Chen¹, Xiugang Song²

Received:2019-11-14 Published:2020-08-01
Corresponding author: Xiaolong Zhu

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朱晓龙, 陈多军, 宋修刚, 姜红江. 全膝关节置换术后聚乙烯衬垫突起柱断裂翻修1例[J]. 中华关节外科杂志(电子版), 2020, 14(04): 516-517.

Xiaolong Zhu, Duojun Chen, Xiugang Song. Revision of broken protruded column of polyethylene liner following total knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(04): 516-517.

图1 患者右膝影像学资料。图A～C为术前X线片，示人工假体植入位置好，固定牢固无松动，膝关节结构正常，周围软组织肿胀，双下肢负重力线正常，未见明显透亮带；图A为术前双下肢全长正位X线片，图B为术前双膝正位X线片，图C为术前右膝侧位X线片；图D～E为右膝术后正侧位X线片，示右膝置换术后人工假体植入位置好，固定牢固无松动，膝关节结构正常

图2 聚乙烯衬垫突起柱平根部断裂，假体内外侧轻度磨损

[1]	Niinimäki T, Eskelinen A, Mäkelä K, et al. Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study[J]. Clin Orthop Relat Res, 2014, 472(5): 1496-1501.
[2]	张庆猛．全膝关节置换术后翻修原因和诊治随访研究．北京：解放军总医院&军医进修学院，解放军医学院，2016.
[3]	唐杞衡，周一新，宋洋，等．膝关节置换术后翻修的主要原因分析[J]．骨科临床与研究杂志，2019，4(1):15-17, 21.
[4]	Angerame MR, Jennings JM, Dennis DA. Fracture of the insert cone of a polyethylene liner in a failed posterior-stabilized, rotating-platform total knee arthroplasty[J]. Arthroplasty Today, 2017, 4(2): 148-152.
[5]	Greco N, Berend K. Polyethylene liner dislocation of fixed-bearing medial oxinium unicompartmental arthroplasty with severe metallosis[J]. Knee, 2018, 25(2): 341-345.
[6]	Pang HN, Bin AH, Petis S, et al. The role of isolated polyethylene exchange in total knee arthroplasty[J]. EFORT Open Rev, 2017, 2(3): 66-71.

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