基于低估的非典型股骨形态的非典型人工关节周围股骨骨折。病例报告。
Atypical periprosthetic femur fracture on an underestimated atypical femoral pattern. A case report.
作者信息
Caruso Gaetano, Corradi Nicola, Amoroso Tommaso, Martini Ilaria, Lorusso Vincenzo, Massari Leo
机构信息
Orthopedic and Traumatology Unit, Sant'Anna University Hospital of Ferrara, Via Aldo Moro 8, 44124 Cona, Ferrara, Italy.
Department of Neurosciences and Rehabilitation, University of Ferrara, Via Luigi Borsari 46, 44121, Ferrara, Italy.
出版信息
Trauma Case Rep. 2021 Feb 10;32:100407. doi: 10.1016/j.tcr.2021.100407. eCollection 2021 Apr.
CASE
Atypical fracture patterns, especially to the femur midshaft, have begun emerging since long-term bisphosphonate use was introduced. The same fracture pattern could arise around prosthetic hip implant, but the literature reports few cases regarding atypical periprosthetic femur fracture on previous total hip arthroplasty implant in patients on long-term bisphosphonate therapy. To our knowledge we report here the first case of atypical periprosthetic femur fracture arising after total hip arthroplasty implant on a previously identified but underestimated atypical femur pattern.
CONCLUSION
Surgeons should never underestimate an atypical femur pattern on x-rays and always relate groin and thigh pain to hip pathology before performing total hip arthroplasty.
病例
自从引入长期使用双膦酸盐药物以来，非典型骨折模式开始出现，尤其是股骨干中段骨折。同样的骨折模式也可能出现在人工髋关节植入物周围，但关于长期接受双膦酸盐治疗的患者在先前全髋关节置换植入物上发生非典型假体周围股骨骨折的文献报道较少。据我们所知，我们在此报告首例全髋关节置换植入物后发生的非典型假体周围股骨骨折，该骨折发生在先前已识别但被低估的非典型股骨模式基础上。
结论
在进行全髋关节置换术前，外科医生绝不应低估X线片上的非典型股骨模式，并且始终将腹股沟和大腿疼痛与髋关节病变联系起来。
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