Pap G, Neumann H W
Orthopädische Universitäitsklinik Magdeburg.
Z Rheumatol. 2007 Feb;66(1):20, 22-7. doi: 10.1007/s00393-006-0137-1.
Postoperative periprosthetic fracture is a rare but serious complication after joint replacement surgery. Due to poor bone quality, multiple joint involvement with the replacement of different joints and considerable comorbidity, the presence of rheumatoid arthritis is associated with a high risk of periprosthetic fractures. For the same reasons, periprosthetic fractures in patients with rheumatoid arthritis can be very difficult to treat, and their management often requires an interdisciplinary approach. On the basis of the current literature, the present work describes different aspects of the epidemiology of periprosthetic fractures, principles of their classification, different treatment options and the results of treatment of these fractures. Special attention is paid to the situation of patients with rheumatoid arthritis.
人工关节置换术后假体周围骨折是一种罕见但严重的并发症。由于骨质不佳、多个关节同时受累需置换不同关节以及存在相当多的合并症,类风湿关节炎患者发生假体周围骨折的风险很高。出于同样的原因,类风湿关节炎患者的假体周围骨折可能极难治疗,其处理往往需要多学科方法。基于当前文献,本研究描述了假体周围骨折流行病学的不同方面、其分类原则、不同的治疗选择以及这些骨折的治疗结果。特别关注了类风湿关节炎患者的情况。