Birmingham 髋关节表面置换术后假体周围髋部骨折的常规固定：病例报告。
Routine Fracture Fixation for a Periprosthetic Hip Fracture Below Birmingham Hip Resurfacing: A Case Report.
机构信息
Department of Orthopaedics, Erasmus Medical Center, Rotterdam, the Netherlands.
Department of Orthopaedics, Reinier de Graaf Gasthuis, Delft, the Netherlands.
出版信息
JBJS Case Connect. 2020 Jul-Sep;10(3):e19.00540. doi: 10.2106/JBJS.CC.19.00540.
CASE
We present a case of a 56-year-old man who sustained a basal cervical periprosthetic fracture around a well-fixed metal-on-metal hip resurfacing arthroplasty (MoMHRA). Although several fixation methods have been described, there seems to be no consensus about the optimal fixation method for fractures around MoMHRAs. This fracture could be regarded as a Vancouver type-B1 or -C periprosthetic fracture, so we successfully treated our patient in a standard way with a dynamic hip screw (DHS) and one cannulated hip screw.
CONCLUSION
We describe DHS fixation as a successful treatment option for periprosthetic hip fractures around well-fixed MoMHRA.
病例
我们报告一例 56 岁男性患者，他在固定良好的金属对金属髋关节表面置换术（MoMHRA）周围发生基底颈假体周围骨折。尽管已经描述了几种固定方法，但对于 MoMHRAs 周围骨折的最佳固定方法似乎没有共识。这种骨折可以被视为 Vancouver 类型 B1 或 C 型假体周围骨折，因此我们采用动力髋螺钉（DHS）和一根空心髋螺钉成功地对患者进行了标准治疗。
结论
我们描述 DHS 固定是治疗固定良好的 MoMHRA 周围髋关节假体周围骨折的一种有效治疗选择。
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