Department of Trauma and Orthopaedics, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.
Department of Trauma and Orthopaedics, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK; Leeds Institutes of Rheumatology and Musculoskeletal Medicine, University of Leeds, Chapel Allerton Hospital, Chapeltown Rd, Leeds, LS7 4SA, UK.
Maturitas. 2018 Nov;117:1-5. doi: 10.1016/j.maturitas.2018.08.010. Epub 2018 Aug 27.
Total joint arthroplasties are increasing worldwide in both frequency and prevalence. When successful, they offer great improvements in quality of life. However, fractures around implants are often difficult to manage and require prolonged inpatient stays in tertiary hospitals. Management may differ between surgeons, but most patients will be managed surgically if mobility or joint stability is threatened. Those affected are often at higher risk from surgery, are frailer and at higher risk of mortality and a lifelong reduction in mobility. The incidence of these fractures is increasing, and patients should appreciate the risk and implications of this recognised complication of joint arthroplasty.
人工关节置换术在全球范围内的频率和流行度都在不断增加。如果手术成功，患者的生活质量将会得到极大改善。然而，植入物周围的骨折通常难以处理，需要在三级医院长时间住院治疗。尽管不同的外科医生可能会采用不同的管理方法，但如果活动度或关节稳定性受到威胁，大多数患者仍将接受手术治疗。受影响的患者往往面临更高的手术风险，身体更虚弱，死亡率更高，终身活动能力受限。这些骨折的发病率正在增加，患者应该意识到这是关节置换术的一种公认并发症，了解其风险和影响。
