de Alencar Paulo Gilberto Cimbalista, De Bortoli Giovani, Ventura Vieira Inácio Facó, Uliana Christiano Saliba
Head of the Hip and Knee Surgery Group, Hospital de Clínicas, Federal University of Paraná
Postgraduate student in the Hip and Knee Surgery Group, Hospital de Clínicas, Federal University of Paraná
Rev Bras Ortop. 2015 Nov 17;45(3):230-5. doi: 10.1016/S2255-4971(15)30362-1. eCollection 2010 May-Jun.
The increasing number of total knee arthroplasties, in combination with the population's longer life expectancy, has led to a greater number of long-term complications. These add to the poor bone quality of elderly patients and often culminate in periprosthetic fractures. This complex orthopedic problem has a great diversity of clinical presentation. It may affect any of the bones in the knee and, because of the difficulty in finding solutions, may lead to disastrous outcomes. Its treatment requires that orthopedists should have broad knowledge both of arthroplasty techniques and of osteosynthesis, as well as an elaborate therapeutic arsenal including, for example, access to a bone bank.
全膝关节置换术数量的不断增加，再加上人口预期寿命的延长，导致了更多的长期并发症。这些并发症加剧了老年患者骨骼质量差的问题，常常最终导致假体周围骨折。这个复杂的骨科问题有多种多样的临床表现。它可能影响膝关节的任何一块骨头，而且由于难以找到解决办法，可能导致灾难性后果。其治疗要求骨科医生既要具备广泛的关节置换技术和骨接合术知识，还要拥有一套精心准备的治疗手段，例如能够获得骨库的支持。
