Van Loon Pieter, de Munnynck Bart, Bellemans Johan
Department of Orthopaedic Surgery, University Hospital Pellenberg, Catholic University of Leuven, Pellenberg, Belgium.
Acta Orthop Belg. 2006 Jun;72(3):369-74.
The authors report three cases of unicompartmental knee arthroplasty (UKA), complicated with peri-operative periprosthetic fracture of the tibial plateau. The surgical technique was held responsible in all cases. The initial treatment was different in every case; all patients ultimately underwent revision total knee arthroplasty with a good functional outcome. The authors emphasise the importance of careful preparation of the tibial plateau during UKA, adequate sizing of the tibial component and caution when using a hammer during implantation of the tibial component. When a tibial plateau fracture occurs, the treatment of choice should be immediate revision total knee arthroplasty.
作者报告了3例单髁膝关节置换术（UKA），并发围手术期胫骨平台假体周围骨折。所有病例均认为手术技术有责任。初始治疗在每个病例中都不同；所有患者最终都接受了翻修全膝关节置换术，功能结果良好。作者强调了UKA期间胫骨平台仔细准备、胫骨组件尺寸合适以及胫骨组件植入时使用锤子时要小心的重要性。当发生胫骨平台骨折时，首选的治疗方法应该是立即进行翻修全膝关节置换术。
