Stern R E, Harwin S F, Kulick R G
Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, New York.
Orthop Rev. 1991 Sep;20(9):779-84.
Femoral shaft fractures following hip arthroplasty can be difficult to manage, particularly in elderly patients. Nine patients were treated with open reduction and rigid internal fixation using cement augmentation for screw fixation in the distal shaft. The stability achieved allowed all patients to be mobilized in the immediate postoperative period. No incidences of reduction loss or implant failure occurred, and all fractures had healed by the time of review. The results obtained support this method of treatment for ipsilateral femoral shaft fractures when prosthetic stability has not been compromised.
髋关节置换术后股骨干骨折的处理可能具有挑战性，尤其是在老年患者中。9例患者接受了切开复位及坚强内固定治疗，采用骨水泥增强技术辅助螺钉固定股骨干远端。所获得的稳定性使所有患者在术后即刻即可活动。未发生复位丢失或内植物失败的情况，复查时所有骨折均已愈合。当假体稳定性未受影响时，所取得的结果支持采用这种方法治疗同侧股骨干骨折。
