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环形六足外固定治疗人工关节周围胫骨骨折

Circular hexapod external fixation for periprosthetic tibial fracture.

作者信息

Assayag Michael J, Bor Noam, Rubin Guy, Rozbruch S Robert

机构信息

Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, New York, NY, USA.

Department of Orthopaedic Surgery, Emek Medical Center, Afula, Israel.

出版信息

Arthroplast Today. 2017 Jun 9;4(2):192-199. doi: 10.1016/j.artd.2017.03.001. eCollection 2018 Jun.

DOI:10.1016/j.artd.2017.03.001
PMID:29896552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5994564/
Abstract

A poor soft tissue envelope often accompanies periprosthetic tibia fracture around a well-fixed total knee arthroplasty and the tibial stem leaves little room for screw fixation. This article describes the practicability and effectiveness of a novel surgical technique using circular hexapod external fixation, in patients with this clinical scenario. It was applied for fixation of periprosthetic tibia fracture in 2 patients. Contact between the external fixation pins and the prosthesis was avoided. Using a web-based software program, a gradual reduction in all planes was achieved. Adequate fixation, stability, reduction, and quick healing were obtained in the 2 cases, with minimal complications. The patients returned to their activity level a few months after external fixation removal.

摘要

在固定良好的全膝关节置换周围，假体周围胫骨骨折常伴有软组织覆盖不佳的情况，且胫骨干假体柄几乎没有用于螺钉固定的空间。本文描述了一种使用环形六足外固定的新型手术技术在这种临床情况下的实用性和有效性。该技术应用于2例假体周围胫骨骨折的固定。避免了外固定针与假体之间的接触。通过基于网络的软件程序，在所有平面上实现了逐步复位。2例患者均获得了充分的固定、稳定性、复位及快速愈合，并发症极少。外固定拆除后几个月，患者恢复到了之前的活动水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/11258ffb59cc/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/d921fa8a37cc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/ddf7d533ef04/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/c6d060afcd3f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/a25f653fcffa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/a8ba04817d23/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/7e2e7b5a44e1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/6841c4320e2b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/11258ffb59cc/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/d921fa8a37cc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/ddf7d533ef04/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/c6d060afcd3f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/a25f653fcffa/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/a8ba04817d23/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/7e2e7b5a44e1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/6841c4320e2b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/5994564/11258ffb59cc/gr9.jpg

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本文引用的文献

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Does Integrated Fixation Provide Benefit in the Reconstruction of Posttraumatic Tibial Bone Defects?综合固定在创伤后胫骨骨缺损重建中是否有益？
Clin Orthop Relat Res. 2015 Oct;473(10):3143-53. doi: 10.1007/s11999-015-4326-6.
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