Ceramic Femoral Component Fracture in Total Knee Arthroplasty: An Analysis Using Fractography, Fourier-Transform Infrared Microscopy, Contact Radiography and Histology

被引：10

作者：

Krueger, Alexander P. ^{[1
]}

Singh, Gurpal ^{[1
,2
]}

Beil, Frank Timo ^{[3
]}

Feuerstein, Bernd ^{[4
]}

Ruether, Wolfgang ^{[3
]}

Lohmann, Christoph H. ^{[1
]}

机构：

[1] Otto Von Guericke Univ, Dept Orthopaed Surg, D-39120 Magdeburg, Germany

[2] Univ Hlth Syst, Univ Orthopaed, Hand & Reconstruct Microsurg Cluster, Singapore, Singapore

[3] Univ Hamburg, Dept Orthopaed, Hamburg, Germany

[4] Magdeburg Stendal Univ Appl Sci, Dept Mech Engn, Magdeburg, Germany

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 05期

关键词：

ceramic; femoral component; fracture; total knee arthroplasty; infrared microscopy; TOTAL HIP-ARTHROPLASTY; ALUMINA; HYPERSENSITIVITY; BEARINGS; WEAR;

D O I：

10.1016/j.arth.2013.11.003

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：

Ceramic components in total knee arthroplasty (TKA) are evolving. We analyze the first case of BIOLOX delta ceramic femoral component fracture. A longitudinal midline fracture in the patellar groove was present, with an intact cement mantle and no bony defects. Fractographic analysis with laser scanning microscopy and white light interferometry showed no evidence of arrest lines, hackles, wake hackles, material flaws, fatigue or crack propagation. Analysis of periprosthetic tissues with Fourier-transform infrared (FT-IR) microscopy, contact radiography, histology, and subsequent digestion and high-speed centrifugation did not show ceramic debris. A macrophage-dominated response was present around polyethylene debris. We conclude that ceramic femoral component failure in this case was related to a traumatic event. Further research is needed to determine the suitability of ceramic components in TKA. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1001 / 1004

页数：4

共 21 条

[1] Bader R, 2008, ORTHOPADE, V37, P136, DOI 10.1007/s00132-007-1189-x
[2] Bergschmidt P, 2011, ORTHOPADE, V40, P224, DOI 10.1007/s00132-010-1649-6
[3] Metal hypersensitivity in total knee arthroplasty: Revision surgery using a ceramic femoral component - A case report
Bergschmidt, Philipp
Bader, Rainer
Mittelmeier, Wolfram
[J]. KNEE, 2012, 19 (02) : 144 - 147
[4] Della-Bona Alvaro, 2005, J Appl Oral Sci, V13, P101
[5] Wear in alumina-on-alumina ceramic total hip replacements A RETRIEVAL ANALYSIS OF EDGE LOADING
Esposito, C. I.
Walter, W. L.
Roques, A.
Tuke, M. A.
Zicat, B. A.
Walsh, W. R.
Walter, K.
[J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (07): : 901 - 907
[6] Knee arthoplasty: recently developed ceramics offer new solutions
Heimke, G
Leyen, S
Willmann, G
[J]. BIOMATERIALS, 2002, 23 (07) : 1539 - 1551
[7] Intraoperative impaction of total knee replacements: An explicit finite-element-analysis of principal stresses in ceramic vs. cobalt-chromium femoral components
Kluess, Daniel
Mittelmeier, Wolfram
Bader, Rainer
[J]. CLINICAL BIOMECHANICS, 2010, 25 (10) : 1018 - 1024
[8] Leyen S, 2004, J BONE JOINT SU B S4, V86-B, P407
[9] Lohmann CH, 2007, ORTHOPEDICS, V30, P760, DOI 10.3928/01477447-20070901-12
[10] Meyer H, 2012, ORTHOPADE, V41, P26, DOI 10.1007/s00132-011-1838-y

← 1 2 3 →