Schmidt Andrew H
Department of Orthopaedic Surgery, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Injury. 2018 Jun;49 Suppl 1:S49-S50. doi: 10.1016/S0020-1383(18)30303-6.
Periprosthetic fractures are typically defined as fractures occurring adjacent to a total joint arthroplasty. However, fractures may occur adjacent to a previous internal fixation device used to treat a prior fracture in the same patient, or between implants (the interprosthetic fracture). All of these injuries tend to occur in frail patients with severe osteopenia, and therefore are very challenging to treat. This article provides a brief but thorough review of the current state of the art regarding the treatment of these challenging problems.
假体周围骨折通常定义为发生在全关节置换术附近的骨折。然而，骨折也可能发生在同一患者先前用于治疗既往骨折的内固定装置附近，或发生在植入物之间（假体间骨折）。所有这些损伤往往发生在患有严重骨质减少的体弱患者中，因此治疗极具挑战性。本文对治疗这些具有挑战性问题的当前技术水平进行了简要而全面的综述。
