Romeo Nicholas M, Firoozabadi Reza
Orthopedics. 2018 Jan 1;41(1):e1-e7. doi: 10.3928/01477447-20170727-01. Epub 2017 Aug 4.
As the rate of hip and knee arthroplasty procedures increases, so will the rate of interprosthetic fractures. Several factors, including bone quality, bone quantity, and stability of the prosthetic components, play a role in determining the appropriate operative treatment. Patients with stable components should undergo reduction and internal fixation, while patients with loose components should undergo either revision arthroplasty, with or without additional fixation, or conversion to total femur replacement. Despite implant and technique advances, complications remain frequent. [Orthopedics. 2018; 41(1):e1-e7.].
随着髋关节和膝关节置换手术率的增加,假体间骨折的发生率也会上升。包括骨质、骨量和假体组件稳定性在内的几个因素,在确定合适的手术治疗方法中发挥作用。假体组件稳定的患者应接受复位和内固定,而假体组件松动的患者应接受翻修关节成形术,可伴有或不伴有额外固定,或转换为全股骨置换。尽管植入物和技术有所进步,但并发症仍然很常见。[《骨科学》。2018年;41(1):e1 - e7。]