Ricci William
Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
J Knee Surg. 2013 Feb;26(1):9-14. doi: 10.1055/s-0033-1333901. Epub 2013 Feb 8.
Locked plating and retrograde nailing are two accepted methods for treatment of periprosthetic distal femur fractures. Each has relative benefits and potential pitfalls. Appropriate patient selection and knowledge of the specific femoral component geometry are required to optimally choose between these two methods. Locked plating may be applied to most periprosthetic distal femur fractures. The fracture pattern, simple or comminuted, will dictate the specific plating technique, compression plating or bridge plating. Nailing requires an open intercondylar box and a distal fragment of enough size to allow interlocking. With proper patient selection and proper techniques, good results can be obtained with either method.
锁定钢板和逆行髓内钉是治疗人工关节周围股骨远端骨折的两种公认方法。每种方法都有相对的优点和潜在的缺陷。要在这两种方法之间做出最佳选择，需要对患者进行恰当的选择，并了解特定股骨假体部件的几何形状。锁定钢板可用于大多数人工关节周围股骨远端骨折。骨折类型，无论是简单骨折还是粉碎性骨折，将决定具体的钢板固定技术，即加压钢板固定或桥接钢板固定。髓内钉固定需要一个开放的髁间盒和足够大的远端骨折块以进行交锁。通过恰当的患者选择和恰当的技术，两种方法都能取得良好的效果。
