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腸骨内板の破壊を伴い巨大嚢胞性病変を有する急速進行性骨溶解を発症したセメントレス人工股関節全置換術の1例
https://uoeh-u.repo.nii.ac.jp/records/816
https://uoeh-u.repo.nii.ac.jp/records/816ecb722ec-5b33-482f-8854-2d2b26213c87
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-12-31 | |||||
タイトル | ||||||
タイトル | 腸骨内板の破壊を伴い巨大嚢胞性病変を有する急速進行性骨溶解を発症したセメントレス人工股関節全置換術の1例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Rapidly Progressive Osteolysis and a Large Cystic Lesion that Destroyed the Inner Table of the Iliac Bone Following Cementless Total Hip Arthroplasty:A Case Report | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 人工股関節全置換術 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 骨溶解 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 嚢腫病変 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 腸骨内板 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | total hip arthroplasty | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | osteolysis | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | cystic lesion | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | inner table of the iliac bone | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
記事区分 | ||||||
値 | Case Report(s) | |||||
著者 |
濱田, 大志
× 濱田, 大志× 森, 俊陽× 塚本, 学× 山中, 芳亮× 内田, 宗志× 酒井, 昭典× Hamada, Daishi× Mori, Toshiharu× Tsukamoto, Manabu× Yamanaka, Yoshiaki× Uchida, Soshi× Sakai, Akinori |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We report a case of rapidly progressive osteolysis and a very large cystic lesion that destroyed the inner table of the iliac bone following cementless total hip arthroplasty (THA). A 59-year-old female patient developed left hip pain at 11 years after THA. Osteolysis surrounding the acetabular cup was pointed out. She was brought to our hospital by ambulance due to severe left hip pain at 12 years after THA. Computed tomography (CT) showed that a cystic lesion in the pelvic cavity had destroyed the inner table of the iliac bone. Magnetic resonance imaging (MRI) showed a high signal intensity area of the hemorrhagic cystic lesion in the iliac bone in both T1-weighted and T2-weighted images. She underwent a liner and femoral head exchange, and required bone grafting and revision of the cup. The cystic lesion was removed and block-like allograft bone grafts were stuffed into the bone defects. If osteolysis and cystic lesions occur at the same time, not only the bone area around the implant but also a distant area like the inner table of the iliac bone may be destroyed. Additional tests such as CT or MRI may be useful to detect the presence of distant or cystic lesions. Early diagnosis and treatment are important because severe complications may occur in cases where osteolysis and cystic lesions coexist after THA. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | セメントレス人工股関節全置換術(THA)の術後に,腸骨内板の破壊を伴った巨大な嚢胞性病変を有する急速進行性の骨溶解を認めた1例を経験した.59歳の女性患者で,THA術後11年で左股関節痛が出現,その時点で寛骨カップ周囲に骨溶解を指摘された.術後12年で強い左股関節痛のために救急搬送された.コンピュータ断層撮影(CT)では,骨盤腔内の嚢胞性病変が腸骨内板を破壊しており,磁気共鳴画像法(MRI)は,T1強調画像およびT2強調画像ともに,腸骨の出血性嚢胞病変の高い信号強度領域を示した.ライナーとヘッド交換に加え,骨移植とカップの再置換を要した.また嚢胞性病変を除去し,腸骨内板に塊状同種骨移植を行った.骨溶解および嚢胞性病変が同時期に生じた場合,病変による骨組織の破壊は,インプラント周囲のみにとどまらず,インプラントから遠く離れた部位(腸骨翼や腸骨内板など)にも及ぶ可能性がある.遠隔または嚢胞性病変の存在を検出するために,CTまたはMRIの追加検査が有用と考えられた.THAに伴う骨溶解および嚢胞病変が共存する場合に重度の合併症が起こるため,早期の診断と治療が重要である. | |||||
書誌情報 |
産業医科大学雑誌 en : Journal of UOEH 巻 40, 号 4, p. 307-312, 発行日 2018-12-01 |
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出版者 | ||||||
出版者 | 産業医科大学(産業医科大学学会) | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | ISSN 0387-821X(PRINT), ISSN 2187-2864(ONLINE) | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/browse/juoeh/40/4/_contents/-char/ja | |||||
関連名称 | Journal of UOEH | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.uoeh-u.ac.jp/kouza/journal/i_2018-4j.html | |||||
関連名称 | 産業医科大学雑誌 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |