Sancineto Carlos Federico, Pereira Duarte Matias, Garcia Mansilla Ignacio, Taype Zamboni Danilo Roger Erick, Carabelli Guido Sebastian, Barla Jorge Daniel
Department of Orthopedic Surgery "Prof. Dr. Carlos E. Ottolenghi", Hospital Italiano de Buenos Aires, CABA, Argentina.
Arthroplast Today. 2019 Mar 16;5(2):164-171. doi: 10.1016/j.artd.2018.09.008. eCollection 2019 Jun.
There are very few therapeutic alternatives for patients with proximal femoral epiphyseal bone deficit combined with a fracture at another level and signs of infection. This combination can be successfully managed with a proximal femur megaspacer. This article is intended to review our variation of this technique and to show the initial results obtained from 11 cases. Of these 11 cases, there were 6 women and 5 men. The mean age was 66 years. The average number of previous surgeries was 3. Definitive prosthetic reconstructive treatment was achieved in 7 of these 11 subjects. The average time to reimplantation was 11.7 months. Fractures or nonunion healed uneventfully. Bone union and infection control were achieved in 10 of the 11 patients.
对于股骨近端骨骺骨缺损合并其他部位骨折及感染迹象的患者，治疗选择非常有限。使用股骨近端大间隔器可成功处理这种情况。本文旨在回顾我们对该技术的改进，并展示11例患者的初步治疗结果。这11例患者中，女性6例，男性5例。平均年龄为66岁。既往手术的平均次数为3次。这11例患者中有7例成功接受了确定性假体重建治疗。再次植入的平均时间为11.7个月。骨折或骨不连均顺利愈合。11例患者中有10例实现了骨愈合且感染得到控制。
