Cordeiro E N, Costa R C, Carazzato J G, Silva J dos S
Department of Orthopaedics and Traumatology, University of São Paulo, Brazil.
Clin Orthop Relat Res. 1990 Mar(252):182-9.
Ten patients with total knee arthroplasties sustained periprosthetic fractures. Nine of these were supracondylar fractures, and one occurred in the middle one-third of the tibia. These patients were treated with conservative methods in two cases and internal fixation with plate and screws in three cases. The remaining five patients were treated with intramedullary fixation using a specially designed revision prosthesis with long intramedullary stems. The best results wer achieved through the revision arthroplasty, based on walking ability, range of motion, and early rehabilitation.
10例行全膝关节置换术的患者发生了假体周围骨折。其中9例为髁上骨折，1例发生在胫骨中1/3处。2例患者采用保守方法治疗，3例采用钢板螺钉内固定治疗。其余5例患者采用特制的带长髓内柄的翻修假体进行髓内固定治疗。基于步行能力、活动范围和早期康复情况，翻修关节成形术取得了最佳效果。
