J Orthop Sports Phys Ther. 2011 Sep;41(9):695. doi: 10.2519/jospt.2011.0418. Epub 2011 Sep 1.
The patient was a 74-year-old man, with a history of total knee arthoplasty 14 years earlier, after having sustained a pathological fracture of the proximal diaphysis of the left tibia following a fall. Given the unstable nature of the fracture and the severe osteolysis noted below the total knee arthroplasty, surgical management 1 day after the fall entailed packing cancellous bone graft into the defect and realigning the fracture.
患者为 74 岁男性，14 年前因左胫骨近端干骺端病理性骨折行全膝关节置换术，此次因摔倒后导致骨折。鉴于骨折的不稳定性和全膝关节置换术后下方严重的骨溶解，在摔倒后 1 天行手术治疗，包括填入松质骨移植物填充缺损并重新对齐骨折。
