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翻修全髋关节置换术中的短股骨柄：假体骨折的一种替代解决方案：病例报告

A Short Femoral Stem in Revision Total Hip Replacement: An Alternative Solution for Prosthetic Fracture: A Case Report.

作者信息

Lee Paul Y F, Woodnutt David J, Golding David M

机构信息

South Wales Orthopaedic Research Network, Wales, United Kingdom.

Morriston Hospital, Morriston, Swansea, Wales, United Kingdom.

出版信息

JBJS Case Connect. 2017 Apr-Jun;7(2):e33. doi: 10.2106/JBJS.CC.16.00174.

DOI:10.2106/JBJS.CC.16.00174
PMID:29244672
Abstract

CASE

A 65-year-old farmer re-presented 5 years after sustaining a midshaft prosthetic fracture of a previous long-stem revision hip replacement. He was treated with a proximal-loading short femoral stem, and did not require an extended trochanteric osteotomy for removal of the well-fixed distal implant. He was able to fully bear weight immediately postoperatively, and he remained pain-free without functional loss at the 42-month follow-up.

CONCLUSION

This use of a modern short-stem prosthesis is a treatment option for a potentially complex prosthetic fracture in highly active patients, and it reduces intraoperative complexity.

摘要

病例

一名65岁的农民，在之前接受长柄翻修髋关节置换术后发生股骨干中段假体骨折5年后再次就诊。他接受了近端加载短股骨干假体治疗，并且在移除固定良好的远端植入物时无需进行大转子延长截骨术。术后他能够立即完全负重，在42个月的随访中，他没有疼痛且功能未丧失。

结论

对于高活动量患者潜在的复杂假体骨折，使用现代短柄假体是一种治疗选择，并且它降低了手术复杂性。

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引用本文的文献

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Biomechanical analysis of a short femoral stem used in revision total hip replacement of a standard femoral stem.用于标准股骨柄翻修全髋关节置换的短股骨柄的生物力学分析。
Sci Rep. 2025 Jan 15;15(1):1967. doi: 10.1038/s41598-025-86108-6.
2
Use of Short Stems in Revision Total Hip Arthroplasty: A Retrospective Observational Study of 31 Patients.短柄在翻修全髋关节置换术中的应用：31 例回顾性观察研究。
Medicina (Kaunas). 2023 Oct 13;59(10):1822. doi: 10.3390/medicina59101822.