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股骨近端假体周围骨折：超越温哥华分类法

Periprosthetic fractures of the proximal femur: beyond the Vancouver classification.

作者信息

Stoffel Karl, Horn Tamara, Zagra Luigi, Mueller Michael, Perka Carsten, Eckardt Henrik

机构信息

Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland.

Clinic of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland.

出版信息

EFORT Open Rev. 2020 Aug 1;5(7):449-456. doi: 10.1302/2058-5241.5.190086. eCollection 2020 Jul.

DOI:10.1302/2058-5241.5.190086
PMID:32818072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7407870/
Abstract

The majority of periprosthetic femoral fractures are treated surgically.Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only.The treatment decision is dependent on whether the stem is loose or not, but loose stems are not always identified, resulting in unsatisfactory treatments.This article presents an algorithmic approach to identifying loose stems around proximal femoral periprosthetic fractures, taking patient history, stem design, and plain radiographs into consideration. This approach may help identifying loose stems and increase the probability of effective treatments. Cite this article: 2020;5:449-456. DOI: 10.1302/2058-5241.5.190086.

摘要

大多数人工关节周围股骨骨折采用手术治疗。手术治疗方式可能仅为翻修、翻修联合切开复位内固定（ORIF）或仅行ORIF。治疗决策取决于假体柄是否松动，但松动的假体柄并不总是能被识别出来，从而导致治疗效果不理想。本文提出了一种识别股骨近端人工关节周围骨折周围松动假体柄的算法方法，该方法考虑了患者病史、假体柄设计和平片。这种方法可能有助于识别松动的假体柄，并提高有效治疗的概率。引用本文：2020；5：449 - 456。DOI：10.1302/2058 - 5241.5.190086。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af06/7407870/6fdef58ac90f/eor-5-449-g006.jpg
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J Orthop. 2018 Jan 16;15(1):118-121. doi: 10.1016/j.jor.2018.01.006. eCollection 2018 Mar.
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