Chun Young Soo, Lee Jung Suk, Cho Yoon Je, Rhyu Kee Hyung
Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Department of Orthopaedic Surgery, Kyung Hee University Hospital, Seoul, Korea.
Hip Pelvis. 2015 Sep;27(3):183-6. doi: 10.5371/hp.2015.27.3.183. Epub 2015 Sep 30.
As the osteoporotic patient population grows, various periprosthetic fractures that cannot be classified appropriately can occur around the femur after hip arthroplasty. We experienced two cases of periprosthetic insufficiency fractures at subtrochanteric area of the femurs around radiographically loose cemented femoral stems. The ages of the patients were 75 years and 83 years. Both patients could not recall any history of trauma before the onset of pain. Both were treated non-operatively. Both healed uneventfully and did not recur after two years of follow up. When the osteoporotic patient with cemented stem showed sudden hip or thigh pain without a history of trauma, great attention should be focused to find this lesion.
随着骨质疏松患者群体的增加，髋关节置换术后股骨周围可能会出现各种无法恰当分类的假体周围骨折。我们遇到了两例围绕影像学上松动的骨水泥型股骨柄在股骨转子下区域发生的假体周围应力性骨折。患者年龄分别为75岁和83岁。两名患者在疼痛发作前均无法回忆起任何外伤史。两人均接受了非手术治疗。两人均顺利愈合，随访两年后未复发。当骨水泥柄的骨质疏松患者无外伤史而突然出现髋部或大腿疼痛时，应高度重视以发现此病变。
