全髋关节置换术中及术后股骨假体周围骨折的预防

The prevention of periprosthetic fractures of the femur during and after total hip arthroplasty.

作者信息

Mitchell Philip A, Greidanus Nelson V, Masri Bassam A, Garbuz Donald S, Duncan Clive P

机构信息

Division of Reconstructive Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Instr Course Lect. 2003;52:301-8.

PMID:12690858

Abstract

The increasing prevalence of periprosthetic fractures of the femur associated with total hip arthroplasty (THA) is caused by several factors, including the increasing use of cementless prostheses in both primary and revision procedure, the rise in THAs in younger patients, who are more at risk of high-energy trauma, and the increasing longevity of elderly patients after THA. With approximately 200,000 THAs performed annually in North America, fracture prevention is extremely important for the individual patient and has a significant impact on the health care system.

摘要

与全髋关节置换术（THA）相关的股骨假体周围骨折患病率不断上升，是由多种因素引起的，包括在初次和翻修手术中无骨水泥假体使用的增加、年轻患者THA手术量的增加（这些患者更容易遭受高能量创伤）以及THA术后老年患者寿命的延长。在北美，每年大约进行20万例THA手术，预防骨折对个体患者极为重要，并且对医疗保健系统有重大影响。