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处理全膝关节置换术后极远端假体周围股骨髁上骨折——一种新的理念。

Managing extremely distal periprosthetic femoral supracondylar fractures of total knee replacements - a new PHILOS-ophy.

作者信息

Donnelly Kevin J, Tucker Adam, Ruiz Angel, Thompson Neville W

机构信息

Department of Trauma and Orthopaedic Surgery, Altnagelvin Hospital, Londonderry BT47 6SB, Northern Ireland, United Kingdom.

出版信息

World J Orthop. 2017 Oct 18;8(10):809-813. doi: 10.5312/wjo.v8.i10.809.

DOI:10.5312/wjo.v8.i10.809
PMID:29094012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5656497/
Abstract

We report two cases where a proximal humeral locking plate was used for the fixation of an extremely distal, type III peri-prosthetic femoral fractures in relation to a total knee replacement (TKR). In each case there was concern regarding the fixation that could be achieved using the available anatomic distal femoral plates due to the size and bone quality of distal fragment. The design of the Proximal Humeral Internal Locking System (PHILOS) allows nine 3.5-mm locking screws to be placed over a small area in multiple directions. This allowed a greater number of fixation points to be achieved in the distal fragment. Clinical and radiological short-term follow-up (6-12 mo) has been satisfactory in both cases with no complications. We suggest the use of this implant for extremely distal femoral fractures arising in relation to the femoral component of a TKR.

摘要

我们报告了两例使用肱骨近端锁定钢板固定全膝关节置换术（TKR）相关的极远端III型假体周围股骨骨折的病例。在每例病例中，由于远端骨折块的大小和骨质，对于使用现有的解剖型股骨远端钢板能否实现牢固固定存在担忧。肱骨近端内锁定系统（PHILOS）的设计允许在小范围内多个方向置入9枚3.5毫米锁定螺钉。这使得在远端骨折块中能够获得更多的固定点。两例病例的临床和影像学短期随访（6 - 12个月）结果均令人满意，无并发症发生。我们建议将这种植入物用于TKR股骨组件相关的极远端股骨骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7886/5656497/b882a9f2577a/WJO-8-809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7886/5656497/8e3523dd0561/WJO-8-809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7886/5656497/b882a9f2577a/WJO-8-809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7886/5656497/8e3523dd0561/WJO-8-809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7886/5656497/b882a9f2577a/WJO-8-809-g002.jpg

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本文引用的文献

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Fractures and fracture-dislocations of the proximal humerus: A retrospective analysis of 82 cases treated with the Philos(®) locking plate.肱骨近端骨折与骨折脱位：对82例采用Philos(®)锁定钢板治疗病例的回顾性分析
Injury. 2014 Dec;45 Suppl 6:S43-8. doi: 10.1016/j.injury.2014.10.022. Epub 2014 Nov 4.
2
Periprosthetic supracondylar femoral fractures above a total knee replacement: compatibility guide for fixation with a retrograde intramedullary nail.全膝关节置换术后股骨髁上假体周围骨折：逆行髓内钉固定的兼容性指南。
J Arthroplasty. 2014 Aug;29(8):1639-41. doi: 10.1016/j.arth.2013.07.027. Epub 2014 Jun 11.
3
Systematic review of the treatment of periprosthetic distal femur fractures.
系统回顾治疗假体周围股骨远端骨折。
J Orthop Trauma. 2014 May;28(5):307-12. doi: 10.1097/BOT.0000000000000002.
4
Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate?股骨假体周围髁上极远端骨折是否过于靠近远端而无法使用外侧锁定钢板进行固定？
J Bone Joint Surg Br. 2010 Apr;92(4):527-34. doi: 10.1302/0301-620X.92B3.22996.
5
Treatment of proximal humerus fractures with locking plates: a systematic review.锁定钢板治疗肱骨近端骨折：系统评价。
J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):837-44. doi: 10.1016/j.jse.2009.06.004. Epub 2009 Sep 12.
6
Rotational stability of femoral osteosynthesis in femoral fractures - navigated measurements.股骨骨折中股骨接骨术的旋转稳定性——导航测量
Technol Health Care. 2009;17(1):25-32. doi: 10.3233/THC-2009-0529.
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9
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