Modüler Unipolar Kalça Protezi Kırılması ve Revizyonu (Stem Çıkarmada Yeni Bir Teknik) (Olgu Sunumu)
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Dosyalar
Tarih
2000
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Selçuk Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalında femur boyun kırığına bağlı modüler unipolar kalça protezi uygulanan hastada 30 ay sonra femoral stem kırılması tespit edildi. Hastanın protezi ve kırık stem parçası bu ameliyat için geliştirilen aletlerle çıkarılarak total kalça protezi uygulandı. Çelik delici matkap ucu, buna uygun yapılan yiv açıcı ve yivli çıkarıcı ile uyguladığımız bu teknik bir çok avantajlar sağladı. Bunlar ameliyat süresinden tasarruf, daha küçük cilt insizyonu, ilave kesi ve osteotomilere ihtiyaç göstermemesi, ameliyat sonrası erken rehabilitasyon ve erken fonksiyon kazandırma olarak sayılabilir.
Femoral stem fracture of a unipolar modular hip prosthesis was diagnosed in a patient 30 months after he had been operated for a femoral neck fracture. The broken stem pieces and cement were removed with special hand tools, developed for this operation and revision total hip arthroplasty was performed. Case Report: A physically active, sixty-two year old man, weighting 98 kilogram had sustained a right femoral neck fracture operation in 1996. A modular type unipolar hip arthroplasty was performed. On December 1998 thirty months after the operation he suffered from a severe hip pain on the operated side. Physical and radiological examination revealed a femoral stem fracture. Specially designed drill, taper and threaded remover were developed for the retrieval of the distal part of the stem and the cement. With the help of these instruments distal part of the stem and the cement were removed quickly and easily. There was no need to extend the exposure or to open a window in the femur. These instruments should be born in mind for the removal of the distal part of a fractured femoral stem.
Femoral stem fracture of a unipolar modular hip prosthesis was diagnosed in a patient 30 months after he had been operated for a femoral neck fracture. The broken stem pieces and cement were removed with special hand tools, developed for this operation and revision total hip arthroplasty was performed. Case Report: A physically active, sixty-two year old man, weighting 98 kilogram had sustained a right femoral neck fracture operation in 1996. A modular type unipolar hip arthroplasty was performed. On December 1998 thirty months after the operation he suffered from a severe hip pain on the operated side. Physical and radiological examination revealed a femoral stem fracture. Specially designed drill, taper and threaded remover were developed for the retrieval of the distal part of the stem and the cement. With the help of these instruments distal part of the stem and the cement were removed quickly and easily. There was no need to extend the exposure or to open a window in the femur. These instruments should be born in mind for the removal of the distal part of a fractured femoral stem.
Açıklama
Anahtar Kelimeler
Hip Prosthesis, Revision, Stem Breaking, Stem Kırılması, Kalça Protezi, Revizyon
Kaynak
Artroplasti Artroskopik Cerrahi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
11
Sayı
1
Künye
Yel, M., Arazi, M., Öğün, T. C., Kutlu, A., (2000). Modüler Unipolar Kalça Protezi Kırılması ve Revizyonu (Stem Çıkarmada Yeni Bir Teknik) (Olgu Sunumu). Artroplasti Artroskopik Cerrahi, 11(1), 71-74.
