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由于合金部断裂导致模块化部茎的机械故障:一个单中心案例系列
N Papapietro1,2, B Zampogna1,2,3, C Caria4,5
1Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Roma, Italy.
Musculoskeletal surgery
|November 9, 2025
概括
在关节整形术 (THA) 中,模块化项部植入物显示出由于蚀腐蚀导致的高自发破裂率. 建议进行修复性手术,在修复和预防性修复患者之间没有发现显著的临床差异.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 机械工程 机械工程
背景情况:
- 在全关节整形术 (THA) 中,模块化部植入物提供可调节的长度,偏移和版本.
- 然而,这些植入物已经证明了包括骨折和金属碎片的不良反应在内的问题.
研究的目的:
- 分析模块化-项THA茎的机械并发症,特别是断裂.
- 在破碎的植入物上进行金分析,并报告修复手术的结果.
主要方法:
- 用特定模块化植入物 (H2M-C2F植入物) 进行THA的患者的回顾性审查.
- 数据收集包括患者人口统计,植入细节,临床随访和修订结果.
- 对骨折的植入物进行了金学检查.
主要成果:
- 在38名患者中,有17名患者的合金子;13名患者经历了与蚀腐蚀相关的自发部破裂.
- 21名患者的CrCo部没有被报告的破裂.
- 所有患者都接受了修复性手术,其中一位患有关节缺陷;没有其他重大并发症.
结论:
- 模块化植入物的使用应仅限于特定的适应症.
- 对于成功的模块化THA.患者选择至关重要.
- 模块化植入物需要表现出更好的耐用性和抗破裂性,才能成为固定茎的可行替代品.
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