Department of Orthopaedics, University of Cincinnati, Cincinnati, OH.
J Orthop Trauma. 2018 Jun;32(6):e237-e240. doi: 10.1097/BOT.0000000000001154.
With an aging population, treatment of interprosthetic femur fractures continues to pose a challenge to the orthopaedic surgeon. Retrograde intramedullary nailing combined with open reduction internal fixation using a tissue-preserving plating technique was used in our series of 9 patients with noncomminuted, distal femur fractures. No interfragmentary screws, cables, cerclage wires, or supplemental bone grafts of any type were used. Each patient initiated weight-bearing as tolerated after operative intervention. Every fracture healed at an average of 20 weeks (range 18-24 weeks). Use of a lateral locking plate combined with a retrograde intramedullary nailing enables immediate postoperative weight-bearing and stable fixation for patients with interprosthetic femur fractures.
随着人口老龄化，股骨假体间骨折的治疗仍然是骨科医生面临的挑战。我们对 9 例非粉碎性股骨远端骨折患者采用逆行髓内钉结合保留组织的钢板内固定术进行治疗。术中未使用断端间螺钉、钢缆、环扎钢丝或任何类型的补充植骨。术后每位患者均根据耐受情况开始负重。所有骨折平均在 20 周（18-24 周）愈合。外侧锁定钢板结合逆行髓内钉的使用可使假体间股骨骨折患者术后即刻负重并获得稳定固定。
