全髋关节置换术后假体周围股骨骨折：当前概念与临床结果

Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes.

作者信息

Ramavath Ashoklal, Lamb Jonathan N, Palan Jeya, Pandit Hemant G, Jain Sameer

机构信息

Department of Orthopaedic Surgery, Chapel Allerton Hospital, Leeds, UK.

University of Leeds, Leeds, UK.

出版信息

EFORT Open Rev. 2020 Sep 30;5(9):558-567. doi: 10.1302/2058-5241.5.200003. eCollection 2020 Sep.

DOI:10.1302/2058-5241.5.200003

PMID:33072408

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7528669/

Abstract

The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden.A detailed understanding of risk factors is required in order to guide preventative strategies.Different femoral stems have unique characteristics and management strategies must be tailored appropriately.Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems.Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses. Cite this article: 2020;5:558-567. DOI: 10.1302/2058-5241.5.200003.

摘要

人工关节置换术后股骨假体周围骨折（PFF）的发病率不断上升，带来了重大的临床和经济负担。为了指导预防策略，需要详细了解风险因素。不同的股骨柄具有独特的特点，管理策略必须适当调整。对于固定良好的股骨柄周围的PFF治疗，目前缺乏共识，但翻修手术可能为不稳定骨折类型和抛光锥形滑动柄周围的骨折提供更可预测的结果。未来的研究应集中在植入物相关风险因素、并发代谢性骨病的治疗以及大型内置假体的使用上。引用本文：2020；5：558 - 567。DOI：10.1302/2058 - 5241.5.200003。