Medda Suman, Kessler Raymond B, Halvorson Jason J, Pilson Holly T, Babcock Sharon, Carroll Eben A
Wake Forest Baptist Medical Center, Winston-Salem, NC.
J Orthop Trauma. 2021 Apr 1;35(4):e148-e152. doi: 10.1097/BOT.0000000000001869.
Treatment of periprosthetic distal femur fractures remains challenging due to assuring adequate distal fixation. Traditional treatment options include lateral locked plating and retrograde nailing, although recently dual implant constructs have been explored with promising results. Allowing immediate weight-bearing in this patient population has benefits with regards to rehabilitation and outcome. Recent literature has focused on nail-plate constructs, however plate-plate constructs are preferred at our institution as they do not require arthroplasty component compatibility, facilitate the coronal plane reduction, and allow for immediate weight-bearing.
由于要确保足够的远端固定,人工关节周围股骨远端骨折的治疗仍然具有挑战性。传统的治疗选择包括外侧锁定钢板和逆行髓内钉,尽管最近已经探索了双植入物结构并取得了有前景的结果。允许该患者群体立即负重对康复和预后有益。最近的文献集中在钉板结构上,然而在我们机构,板板结构更受青睐,因为它们不需要关节置换部件的兼容性,便于在冠状面复位,并且允许立即负重。