Giannoudis Peter V, Kanakaris Nikolaos K, Tsiridis Eleftherios
Department of Trauma & Orthopaedic Surgery, Academic Unit, School of Medicine, University of Leeds, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds, United Kingdom.
Injury. 2007 Jun;38(6):669-87. doi: 10.1016/j.injury.2007.02.050. Epub 2007 Apr 30.
Periprosthetic femoral fractures (PFF) are increasing as a result of changes in population demographics and the increase in the number of total hip replacements performed. The overall incidence has been reported to range from 0.1% to 6% of all total hip arthroplasties. Management of these fractures is often particularly demanding, complex and expensive. In many cases, the surgeon has to solve the simultaneous problems of implant loosening, bone loss and fracture. A thorough understanding of the unique characteristics of the different fracture types, the principles of PFF treatment and a familiarity with the various fixation devices, grafts and prosthetic implants are all of paramount importance. Internal fixation is used either alone or as an adjunct to stem revision. The stability of the original implant and the configuration of the fracture itself are the basic factors that influence the decision-making process. The current study reviews the existing literature on internal fixation of femoral periprosthetic fractures.
随着人口结构的变化以及全髋关节置换手术数量的增加，股骨假体周围骨折（PFF）的发生率正在上升。据报道，在所有全髋关节置换术中，其总体发生率为0.1%至6%。这些骨折的治疗通常特别具有挑战性、复杂且昂贵。在许多情况下，外科医生必须同时解决植入物松动、骨质流失和骨折等问题。深入了解不同骨折类型的独特特征、PFF治疗原则以及熟悉各种固定装置、移植物和假体植入物至关重要。内固定可单独使用或作为柄部翻修的辅助手段。原始植入物的稳定性和骨折本身的形态是影响决策过程的基本因素。本研究回顾了关于股骨假体周围骨折内固定的现有文献。
