Nagoya Satoshi, Sasaki Mikito, Kaya Mitsunori, Okazaki Shunichiro, Tateda Kenji, Yamashita Toshihiko
Department of Musculoskeletal Biomechanics and Surgical Development, Sapporo Medical University, Sapporo, Japan.
Department of Orthopedic Surgery, Sapporo Medical University, South 1 West 16, Chuo-Ku Sapporo, 060-8543 Japan.
Eur Orthop Traumatol. 2015;6(4):417-421. doi: 10.1007/s12570-015-0322-2. Epub 2015 Aug 29.
We present a technique of posterior femoral longitudinal split (FLS) osteotomy. This technique allows the expansion of the metaphyseal-diaphyseal region of the proximal femur facilitating extraction of well-fixed extended porous-coated stems. The extractions were performed using extended transfemoral osteotomy (ETO) and FLS osteotomy between June 2002 and March 2014. The study group, which comprised patients with well-fixed extended porous-coated stems, consisted of two men and ten women with an average age of 63.2 years. The stem was successfully removed using the FLS procedure in 8 of the 10 hips. Reimplantation surgery was performed in 6 of the 12 hips with ARMD, periprosthetic infection, or metallosis. This FLS technique may allow the easy removal of well-fixed extended porous-coated stems and become an alternative method for the removal of all stems.
我们介绍一种股骨后纵劈（FLS）截骨术。该技术可扩大股骨近端干骺端-骨干区域，便于取出固定良好的延长型多孔涂层柄。2002年6月至2014年3月期间，采用延长经股骨截骨术（ETO）和FLS截骨术进行取出操作。研究组包括固定良好的延长型多孔涂层柄患者，由2名男性和10名女性组成，平均年龄63.2岁。10例髋关节中的8例使用FLS手术成功取出柄。12例存在无菌性松动、假体周围感染或金属沉着病的髋关节中，6例进行了翻修手术。这种FLS技术可能便于取出固定良好的延长型多孔涂层柄，并成为取出所有柄的替代方法。
Zotero 插件
