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使用脉冲电磁场刺激装置治疗膝关节置换翻修术后胫骨假体周围骨折:一例报告

Management of a tibial periprosthetic fracture following revision knee arthroplasty using a pulsed electromagnetic field stimulation device: a case report.

作者信息

Doorgakant Ashtin, Bhutta Mohammed A, Marynissen Hans

机构信息

Trauma and Orthopaedics, North Western Deanery, East Lancashire Hospital Trust 13 Cringle Drive, Cheadle, Cheshire, SK8 1JH UK.

出版信息

Cases J. 2009 Aug 5;2:8706. doi: 10.4076/1757-1626-2-8706.

DOI:10.4076/1757-1626-2-8706
PMID:19918397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2769467/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/117e/2769467/ec91f314aa99/1757-1626-0002-0000008706-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/117e/2769467/c5884730fae7/1757-1626-0002-0000008706-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/117e/2769467/ec91f314aa99/1757-1626-0002-0000008706-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/117e/2769467/c5884730fae7/1757-1626-0002-0000008706-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/117e/2769467/ec91f314aa99/1757-1626-0002-0000008706-002.jpg

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本文引用的文献

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The role of electromagnetic stimulation in the management of established non-union of long bone fractures: what is the evidence?电磁刺激在已确诊的长骨骨折不愈合治疗中的作用:证据有哪些?
Injury. 2008 Apr;39(4):419-29. doi: 10.1016/j.injury.2007.12.014. Epub 2008 Mar 5.
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Low-intensity pulsed ultrasound and pulsed electromagnetic field in the treatment of tibial fractures: a systematic review.低强度脉冲超声和脉冲电磁场治疗胫骨骨折:一项系统评价。
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Periprosthetic fractures after total knee arthroplasties.
全膝关节置换术后假体周围骨折
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Periprosthetic fractures after total knee arthroplasty.全膝关节置换术后假体周围骨折
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Treatment of nonunions with electric and electromagnetic fields.电场和电磁场治疗骨不连
Clin Orthop Relat Res. 2004 Feb(419):21-9. doi: 10.1097/00003086-200402000-00005.
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Impaction bone-grafting in the treatment of a periprosthetic fracture of the tibia: a case report.嵌压植骨术治疗胫骨假体周围骨折:1例病例报告
J Bone Joint Surg Am. 2003 Apr;85(4):703-7. doi: 10.2106/00004623-200304000-00018.
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The effect of pulsed electromagnetic fields on the osteointegration of hydroxyapatite implants in cancellous bone: a morphologic and microstructural in vivo study.脉冲电磁场对松质骨中羟基磷灰石植入物骨整合的影响:一项体内形态学和微观结构研究。
J Orthop Res. 2002 Jul;20(4):756-63. doi: 10.1016/S0736-0266(01)00158-9.
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