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Highly Cross-linked Polyethylene Liner Dissociation from a Cement-less Modular Acetabular Shell: Two Case Reports

机译:从无水泥模块化髋臼壳中高度交联的聚乙烯衬里解离:两个病例报告

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摘要

Liner dissociation of polyethylene from a cementless acetabular socket following total hip arthroplasty (THA) is a rare complication. Cross-linked polyethylene liner dissociation from AMS-HA shell (KYOCERA Med, Osaka, Japan) occurred in 2 out of the 4153 (0.04%) cases approximately 10 years after undergoing surgery at our institute. First case was an 80-year-old female who underwent right THA along with subtrochanteric femoral shortening osteotomy due to complete dislocation hip, and second case was a 72-year-old male, who underwent right THA due to coxarthrosis. A 26 mm femoral head and CPE liner were used in both cases and the inclination degree of the acetabular socket was within 50°.There was no implant loosening in both cases. There was partial damage in the elevated rim on the alternative side and scratches on the back side in the both extracted CPE liner. It was surmised that liner dissociation was caused due to a problem in the liner fixing format of the push in type of the present model.
机译:全髋关节置换术(THA)后,聚乙烯从非骨水泥髋臼窝中解散出来是一种罕见的并发症。在我院接受手术约10年后,在4153例病例中,有2例发生了AMS-HA壳(日本大阪的KYOCERA Med)的交联聚乙烯衬管解离。第一例是80岁的女性,由于髋关节完全脱位而接受了右THA并进行了股骨粗隆下截骨术;第二例是72岁的男性,由于髋关节置换而接受了右THA。在两种情况下都使用26毫米的股骨头和CPE内衬,髋臼窝的倾斜度在50°以内。在两种情况下均没有植入物松动。两个提取的CPE衬里的另一侧高架边缘都有部分损坏,而背面有刮擦。据推测,由于本模型的推入型的衬套固定形式中的问题导致衬套解离。

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