Division of Orthopaedics, Department of Surgery, St Michael's Hospital and the University of Toronto, Toronto, Canada.
J Orthop Trauma. 2011 Jun;25 Suppl 2:S71-6. doi: 10.1097/BOT.0b013e31821acfa5.
Periprosthetic fractures around the shoulder and elbow are rare and are often difficult to treat. Treatment options depend on the stability of the prosthesis, the location of the fracture, and the bone quality. The basic principles of treatment are that loose or unstable prostheses are removed and revised to a longer prosthesis with the possible addition of cortical struts and/or plate and screws. If the prosthesis is stable, nonoperative measures may be tried initially. In cases of nonunion, surgical treatment is recommended. This article describes the current literature related to periprosthetic fractures around the shoulder and the elbow.
肩肘周围的假体周围骨折较为罕见，且通常难以治疗。治疗方案取决于假体的稳定性、骨折的位置和骨质量。治疗的基本原则是去除松动或不稳定的假体，并更换更长的假体，可能需要增加皮质支柱和/或钢板和螺钉。如果假体稳定，可以首先尝试非手术治疗。对于不愈合的病例，建议手术治疗。本文描述了与肩肘周围假体周围骨折相关的当前文献。
