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一种使用克氏针治疗全膝关节置换翻修术后假体周围股骨髁上骨折的新手术方法:病例报告

A new operative procedure using a Küntcher nail for a periprosthetic supracondylar femoral fracture after revision total knee arthroplasty: a case report.

作者信息

Tanaka Yoshitaka, Kobayashi Tatsuo, Ohashi Motoki, Kaneko Daiki, Nemoto Koichi

机构信息

Department of Orthopaedic Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama Prefecture 359-8513, Japan.

出版信息

Knee. 2007 Jan;14(1):59-62. doi: 10.1016/j.knee.2006.10.011. Epub 2006 Dec 13.

Abstract

Periprosthetic supracondylar femoral fractures after total knee arthroplasty (TKA) are difficult surgical problems. We report a case of an 84-year-old female, in which an original method was applied to treat a periprosthetic supracondylar femoral nonunion just proximal a femoral component. The new method features extending the stem of the femoral component with a Küntcher nail. Eventually bony union was obtained and the patient is now able to walk without any support.

摘要

全膝关节置换术(TKA)后股骨髁上假体周围骨折是棘手的外科问题。我们报告一例84岁女性患者,采用一种原创方法治疗股骨部件近端的股骨髁上假体周围骨不连。新方法的特点是用一枚克氏针延长股骨部件柄部。最终实现了骨愈合,患者现在能够无需任何支撑行走。

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