Doorgakant Ashtin, Bhutta Mohammed A, Marynissen Hans
Trauma and Orthopaedics, North Western Deanery, East Lancashire Hospital Trust 13 Cringle Drive, Cheadle, Cheshire, SK8 1JH UK.
Cases J. 2009 Aug 5;2:8706. doi: 10.4076/1757-1626-2-8706.
Periprosthetic fractures associated with total knee arthroplasty are rare but present a challenging problem particularly when associated with revision arthroplasty. Fractures around tibial stems are particularly difficult with no accepted technique in their management. This case describes a tibial periprosthetic fracture following a revision knee arthroplasty which was successfully managed with a Pulsed ElectroMagnetic Field bone stimulation device. We believe this to be first reported use of a bone stimulation device in this clinical environment.
全膝关节置换术相关的假体周围骨折很少见,但却是一个具有挑战性的问题,尤其是与翻修关节置换术相关时。胫骨柄周围的骨折尤其棘手,目前尚无公认的处理技术。本病例描述了一例翻修膝关节置换术后的胫骨假体周围骨折,通过脉冲电磁场骨刺激装置成功治疗。我们认为这是首次报道在这种临床环境中使用骨刺激装置。