Hanssen A D, Stuart M J
Department of Orthopedic Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA.
Clin Orthop Relat Res. 2000 Nov(380):91-8. doi: 10.1097/00003086-200011000-00013.
Periprosthetic fractures of the tibia are less commonly encountered and have received less attention than periprosthetic fractures of the patella and distal femur. In contrast with distal femoral fractures, tibial fractures frequently are encountered with loose implants and treatment often requires simultaneous revision knee surgery to address the loose prosthesis, the fracture, and any associated bone deficiencies. In some instances, fractures associated with well-fixed and satisfactorily positioned knee components may be treated by traditional methods of operative or nonoperative fracture management. A classification system, which accounts for the anatomic location of the fracture, the status of prosthesis fixation, and timing of the fracture is helpful in description of the various fracture patterns and direction of the appropriate treatment approach.
胫骨假体周围骨折比髌骨和股骨远端的假体周围骨折更少见，受到的关注也更少。与股骨远端骨折不同，胫骨骨折常伴有假体松动，治疗通常需要同时进行膝关节翻修手术，以处理松动的假体、骨折以及任何相关的骨缺损。在某些情况下，与固定良好且位置满意的膝关节组件相关的骨折，可采用传统的手术或非手术骨折处理方法进行治疗。一种考虑骨折的解剖位置、假体固定状态和骨折时间的分类系统，有助于描述各种骨折类型以及合适的治疗方法方向。
