Cankaya Deniz, Toprak Ali, IKilic Enver, Bingol Olgun, Tabak Yalcin
Department of Orthopaedic and Traumatology, Ankara Numune Training and Research Hospital. Turkey.
J Orthop Case Rep. 2016 Jan-Mar;6(1):11-3. doi: 10.13107/jocr.2250-0685.364.
Periprosthetic fractures of the femur are uncommon, but at times may lead to complications especially in elderly patients. As treatment of these fractures is difficult, prevention by identifying the risk factors is the best way to overcome these complex problems.
A periprosthetic right femur fracture associated with a neglected left femoral neck fracture in the contralateral femur in a 78-year-old elder woman patient is reported in the present article. We discuss the prevention of periprosthetic fractures after hip arthroplasty and address the risk factors associated with this complication.
The present case emphasizes the importance of investigating and treating the cause of sudden onset of restriction on full weight-bearing in the contralateral limb, to prevent periprosthetic femoral fracture after hip arthroplasty in elderly patients.
股骨假体周围骨折并不常见,但有时可能会引发并发症,尤其是在老年患者中。由于这些骨折的治疗难度较大,通过识别风险因素进行预防是克服这些复杂问题的最佳方法。
本文报道了一名78岁老年女性患者,其右侧股骨假体周围骨折,同时对侧股骨存在被忽视的左股骨颈骨折。我们讨论了髋关节置换术后假体周围骨折的预防,并阐述了与此并发症相关的风险因素。
本病例强调了调查和治疗对侧肢体突然出现完全负重受限原因的重要性,以预防老年患者髋关节置换术后的假体周围股骨骨折。