Orthopaedic Surgery & Traumatology Department, Hautepierre University Hospital Center, University Hospitals of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
Orthop Traumatol Surg Res. 2010 May;96(3):304-9. doi: 10.1016/j.otsr.2009.09.017. Epub 2010 Apr 20.
Increasingly frequent periprosthetic fractures are affecting the elderly; this patients group often suffers from significant co-morbidities that make it particularly difficult to manage these already complex injuries. The classic pitfalls of conservative treatment are many, including infections, pseudarthrosis and the growing necessity of different postoperative supports. We present an internal fixation technique by minimally invasive surgery to manage periprosthetic fractures. The hardware used is a locking plate, with manufacturers' recommendations usually allowing immediate weight bearing. This minimally invasive method provides optimal stability to the fixation, while avoiding the open approach shortcomings.
IV: retrospective or historical series.
日益频繁的假体周围骨折影响着老年人；该患者群体常患有严重的合并症，使这些本就复杂的损伤更难处理。保守治疗的经典陷阱有很多，包括感染、假关节形成和对不同术后支撑物的日益需求。我们提出一种微创内固定技术来管理假体周围骨折。所使用的内固定硬件是锁定板，制造商的建议通常允许立即负重。这种微创方法为固定提供了最佳的稳定性，同时避免了开放式手术的缺点。
IV：回顾性或历史性系列研究。
