Revision of Ceramic Head Fracture After Third Generation Ceramic-on-Ceramic Total Hip Arthroplasty

被引：27
作者：
Koo, Kyung-Hoi [1 ]
Ha, Yong-Chan [2 ]
Kim, Shin-Yoon [3 ]
Yoon, Kang-Sup [1 ]
Min, Byung-Woo [4 ]
Kim, Sang-Rim [5 ]
机构：
[1] Seoul Natl Univ, Coll Med, Dept Orthopaed Surg, Seoul, South Korea
[2] Chung Ang Univ, Coll Med, Dept Orthopaed Surg, Seoul 156755, South Korea
[3] Kyungpook Natl Univ, Coll Med, Dept Orthopaed Surg, Taegu, South Korea
[4] Keimyung Univ, Sch Med, Dept Orthoped Surg, Taegu, South Korea
[5] Jeju Natl Univ, Coll Med, Dept Orthopaed Surg, Cheju, South Korea
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 01期
关键词：
hip; arthroplasty; ceramic; fracture; revision; FEMORAL-HEAD; FOLLOW-UP; COMPONENTS; REPLACEMENT; FIXATION; FAILURE;
D O I：
10.1016/j.arth.2013.04.007
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We performed 24 revisions of fractures of third generation ceramic heads. The stem was not changed in 20 revisions; a new ceramic-on-ceramic bearing was used in four and a metal-on-polyethylene bearing in 16. The stem was changed in four revisions; a new ceramic-on-ceramic bearing was used in three and a metal-on-polyethylene bearing in one. During the follow-up of 57.5 months, complications occurred in five hips among the 20 stem retained revisions: a fracture of the new ceramic head in two, metallosis with pseudocyst in two, and femoral osteolysis with stem loosening in one. However, there were no complications in the four revisions where the stem was changed. Revision surgery after ceramic head fracture shows high rates of early complications. We recommend stem revision in cases of THA failure due to fracture of a modern ceramic head. (C) 2014 Elsevier Inc. All rights reserved.
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收藏
页码：214 / 218
页数：5
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