Tadross T S, Nanu A M, Buchanan M J, Checketts R G
Department of Trauma and Orthopaedics, Sunderland Royal Hospital, United Kingdom.
J Arthroplasty. 2000 Jan;15(1):47-51. doi: 10.1016/s0883-5403(00)91129-x.
Eight patients (9 fractures) who have been treated with Dall-Miles plating in this unit between April 1996 and October 1997 for ipsilateral periprosthetic fractures around total hip replacement (7 cases) and total knee replacement (2 cases) have been reviewed. Four were men, and 4 were women. The average age at the time of operation was 77 years (range, 65-89 years). The average follow-up period was 14.6 months (range, 6-24 months). Three fractures healed satisfactorily with no evidence of malunion (3 of 9). The final result was unsatisfactory in the other 6 fractures. The femoral component had been inserted in a varus position in all the failures but was in a neutral position in the 3 successes. Procedures other than Dall-Miles plating might be more appropriate in the management of periprosthetic fractures in which the femoral component is in a varus position.
对1996年4月至1997年10月间在本单位接受Dall-Miles钢板治疗的8例患者（9处骨折）进行了回顾性研究，这些患者因全髋关节置换（7例）和全膝关节置换（2例）周围的同侧假体周围骨折接受治疗。4例为男性，4例为女性。手术时的平均年龄为77岁（范围65 - 89岁）。平均随访期为14.6个月（范围6 - 24个月）。9处骨折中有3处骨折愈合良好，无畸形愈合迹象。其余6处骨折的最终结果不理想。在所有失败病例中，股骨假体均处于内翻位植入，但在3例成功病例中处于中立位。对于股骨假体处于内翻位的假体周围骨折，采用Dall-Miles钢板以外的手术方法可能更为合适。
