Wallace S S, Bechtold D, Sassoon A
University of Washington medical center, department of orthopaedics and sports medicine, 98195 Seattle, Washington, USA.
University of Washington, school of medicine, 1959, NE Pacific St., 98195 Seattle, Washington, USA.
Orthop Traumatol Surg Res. 2017 Apr;103(2):257-262. doi: 10.1016/j.otsr.2016.11.018. Epub 2017 Jan 13.
The incidence of periprosthetic fractures about a TKA is increasing. Traditionally, these fractures are classified by their location and prosthesis integrity. In the setting of a supracondyar fracture about a well-fixed prosthesis, both plate and nail fixation of the fracture present themselves as options, each with unique benefits and pitfalls. Through review and discussion of the literature, we aim to describe some of the patient, fracture, and implant related factors that should be considered when planning fixation of periprosthetic fractures about a TKA. Additionally, we present several technical pearls that may be useful in the successful treatment of these difficult injuries.
全膝关节置换术（TKA）周围假体周围骨折的发生率正在上升。传统上，这些骨折根据其位置和假体完整性进行分类。在一个固定良好的假体周围髁上骨折的情况下，骨折的钢板固定和髓内钉固定都是选择，每种方法都有独特的优点和缺陷。通过回顾和讨论文献，我们旨在描述在计划TKA周围假体周围骨折的固定时应考虑的一些与患者、骨折和植入物相关的因素。此外，我们还介绍了一些技术要点，这些要点可能有助于成功治疗这些复杂损伤。
4级。
