Zenni E J, Pomeroy D L, Caudle R J
University of Cincinnati, Ohio.
Clin Orthop Relat Res. 1988 Jun(231):83-90.
Treatment of femoral shaft fractures complicating endoprostheses remains controversial. Nineteen such fractures were treated with open reduction and internal fixation using the Ogden plate. This modified plate allows for proximal fixation with heavy-duty Parham bands and distal fixation with screws. Sixteen of 19 patients healed their fractures in an average of 3.5 months. Two fractures developed delayed unions, one resulted in non-union. At final follow-up examination, results were rated as excellent (12), satisfactory (5), and poor (2). The procedure is not technically difficult. It can be applied to fractures both above and below the prosthetic tip as well as those with and without cement. Use of the Ogden plate provides immediate rigid fixation allowing early mobilization, preventing the complications of traction and/or cast immobilization.
股骨柄假体合并股骨干骨折的治疗仍存在争议。采用奥格登钢板切开复位内固定治疗了19例此类骨折。这种改良钢板允许用重型帕勒姆带进行近端固定，用螺钉进行远端固定。19例患者中有16例平均在3.5个月内骨折愈合。2例骨折出现延迟愈合，1例导致骨不连。在末次随访检查时，结果评定为优（12例）、良（5例）和差（2例）。该手术技术上并不困难。它可应用于假体尖端上方和下方的骨折，以及有骨水泥和无骨水泥的骨折。使用奥格登钢板可提供即刻的坚强固定，允许早期活动，预防牵引和/或石膏固定的并发症。
