PMU Salzburg, Orthopedic University Clinic, Salzburg, Austria.
Int Orthop. 2012 May;36(5):1045-50. doi: 10.1007/s00264-011-1371-y. Epub 2011 Oct 9.
We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients.
All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months.
All fractures united, and the mean Harris hip score at the last follow up was 72. Subsidence was noted in two patients (4%) within six months postoperatively and required revision surgery. One patient developed peroneal nerve palsy. Two hips dislocated and were managed by closed reduction.
In these severe cases of periprosthetic fracture, the technique reviewed here proved to be reliable.
我们回顾了使用远端固定模块化股骨柄治疗 55 例 B2 和 B3 股骨假体周围骨折的经验。
所有假体周围骨折均在受伤后立即进行处理，不使用同种异体骨；53 髋获得平均 67 个月的随访。
所有骨折均愈合，末次随访时平均 Harris 髋关节评分为 72 分。两名患者（4%）术后 6 个月内出现下沉，需要翻修手术。1 例发生腓总神经麻痹。2 髋脱位，行闭合复位治疗。
在这些严重的假体周围骨折病例中，此处回顾的技术被证明是可靠的。
