Frankie Leung, Xiang Zhou
Department of Orthopedic Surgery, Queen Mary Hospital, University of Hong Kong, Hong Kong, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2002 Mar;16(2):123-5.
To introduce a method for fixation in periprosthetic fracture with locking compression plate (LCP).
During the surgery, a long 12-hole LCP was placed to the lateral side of the femur. Six holes of the plate were placed proximal to the main fracture line to make sure that there could be enough cortex units for rigid fixation of proximal fragments. Locking screws used except for the most proximal hole where a 4.5 mm screw was used instead.
The patient was pain free at the fracture site one week after the surgery, and was able to walk with a cane 3 months after the surgery. Bone union was evident radiographically 3 months after the surgery. There was no loose signs around the stem. Six months after the surgery, the patient recovered full function without pain.
In our experience from this case, LCP in treating periprosthetic fracture was easy and less time consuming, more over, extensive periosteal stripping could be avoided. LCP is a good choice in treating some periprosthetic fractures.
介绍一种使用锁定加压钢板（LCP）治疗假体周围骨折的固定方法。
手术过程中，将一块长12孔的LCP置于股骨外侧。钢板的六个孔位于主要骨折线近端，以确保有足够的皮质骨单元用于近端骨折块的坚强固定。除最近端的孔使用4.5毫米螺钉外，其余均使用锁定螺钉。
术后1周患者骨折部位无疼痛，术后3个月能够拄拐行走。术后3个月影像学检查显示骨愈合明显。假体柄周围无松动迹象。术后6个月，患者恢复全部功能且无疼痛。
根据本病例经验，LCP治疗假体周围骨折操作简便、耗时少，而且可避免广泛的骨膜剥离。LCP是治疗某些假体周围骨折的良好选择。
