• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

锥形翻修柄经股植入的技术说明。保持短柄的优势。

Technical Note for Transfemoral Implantation of Tapered Revision Stems. The Advantage to Stay Short.

作者信息

Fink Bernd

机构信息

Orthopaedic Clinic Markgröningen, Joint Replacement, General and Rheumatic Orthopaedic, Markgröningen, Baden-Württemberg, Germany.

University-Hospital, Hamburg-Eppendorf, Orthopaedic Department, Hamburg, Germany.

出版信息

Arthroplast Today. 2021 Apr 24;9:16-20. doi: 10.1016/j.artd.2021.03.015. eCollection 2021 Jun.

DOI:10.1016/j.artd.2021.03.015
PMID:33997203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8099717/
Abstract

BACKGROUND

The aim was to test the hypothesis that during transfemoral implantation of a conical revision stem, the fixation of the stem at the distal tip leads to a low rate of periprosthetic fractures.

MATERIAL AND METHODS

Two hundred eighty-two stem revisions by a transfemoral approach in cases of Paprosky Type II and IIIA-defects (with a sufficient isthmus) were carried out and analyzed during and radiographically after the surgery for unintentional periprosthetic fractures below the osteotomy.

RESULTS

In all cases, fixation was always achieved at the tip of the distal component in the isthmus of the femur. No periprosthetic fractures were observed.

CONCLUSIONS

When the isthmus of the femur is intact, a transfemoral implantation of a tapered revision stem at the distal end reduces the risk of periprosthetic fractures by preventing bypassing the isthmus with the stem. Knowing the difference between the nominal diameter and the diameter at the distal start of the conical zone can help to create this fixation technique resulting in short revision stems.

摘要

背景

目的是检验以下假设，即在经股骨植入锥形翻修柄时，柄在远端的固定可导致假体周围骨折发生率较低。

材料与方法

对282例采用经股骨入路治疗Paprosky II型和IIIA型缺损（峡部足够）的柄翻修病例进行了手术过程中及术后影像学分析，以观察截骨下方意外发生的假体周围骨折情况。

结果

在所有病例中，均在股骨峡部远端部件的尖端实现了固定。未观察到假体周围骨折。

结论

当股骨峡部完整时，经股骨在远端植入锥形翻修柄可通过防止柄越过峡部来降低假体周围骨折的风险。了解标称直径与锥形区域远端起始处直径之间的差异有助于创建这种固定技术，从而得到短的翻修柄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/10943047e7cc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/d089e6db99e9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/de3ae3f46f59/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/009a1bac03fd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/10943047e7cc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/d089e6db99e9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/de3ae3f46f59/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/009a1bac03fd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bf/8099717/10943047e7cc/gr4.jpg

相似文献

1
Technical Note for Transfemoral Implantation of Tapered Revision Stems. The Advantage to Stay Short.锥形翻修柄经股植入的技术说明。保持短柄的优势。
Arthroplast Today. 2021 Apr 24;9:16-20. doi: 10.1016/j.artd.2021.03.015. eCollection 2021 Jun.
2
Fixation of a modular curved revision stem with a taper of 2° in the femur.在股骨中固定一个锥度为2°的模块化弯曲翻修柄。
Arch Orthop Trauma Surg. 2019 Jan;139(1):127-133. doi: 10.1007/s00402-018-3067-x. Epub 2018 Nov 10.
3
Revision arthroplasty in periprosthetic fractures of the proximal femur.股骨近端假体周围骨折的翻修关节成形术。
Oper Orthop Traumatol. 2014 Oct;26(5):455-68. doi: 10.1007/s00064-014-0305-4. Epub 2014 Sep 28.
4
Radiographic and Clinical Outcomes of Modular Tapered Fluted Stems for Femoral Revision for Paprosky III and IV Femoral Defects or Vancouver B2 and B3 Femoral Fractures.模块化锥形开槽柄在治疗 Paprosky III 和 IV 型股骨缺损或 Vancouver B2 和 B3 型股骨骨折的股骨翻修中的影像学和临床结果。
J Arthroplasty. 2020 Apr;35(4):1069-1073. doi: 10.1016/j.arth.2019.11.039. Epub 2019 Nov 30.
5
Risk Factors for Subsidence of Modular Fluted Tapered Stems Used During Revision Total Hip Arthroplasty for Periprosthetic Hip Fractures.翻修全髋关节置换术治疗人工关节周围骨折中使用的模块化带槽锥形柄下沉的危险因素。
J Arthroplasty. 2018 Sep;33(9):2967-2970. doi: 10.1016/j.arth.2018.05.006. Epub 2018 May 9.
6
Modular diaphyseal anchor stems with locking screws in the hip revision with massive femoral defects.带锁定螺钉的模块化骨干骨锚钉在伴有大块股骨缺损的髋关节翻修术中的应用。
Rev Esp Cir Ortop Traumatol (Engl Ed). 2020 Nov-Dec;64(6):409-414. doi: 10.1016/j.recot.2020.06.005. Epub 2020 Aug 14.
7
Modified transfemoral approach to revision arthroplasty with uncemented modular revision stems.采用改良经股入路行非骨水泥型模块化翻修柄的关节置换翻修术。
Oper Orthop Traumatol. 2007 Mar;19(1):32-55. doi: 10.1007/s00064-007-1194-6.
8
Nonmodular Tapered Fluted Titanium Stems Osseointegrate Reliably at Short Term in Revision THAs.非模块化锥形带槽钛柄在翻修全髋关节置换术中短期内能可靠地实现骨整合。
Clin Orthop Relat Res. 2017 Jan;475(1):186-192. doi: 10.1007/s11999-016-5091-x. Epub 2016 Sep 26.
9
Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem.使用非骨水泥型、模块化、锥形翻修柄对假体周围温哥华B1型骨折内固定失败进行髋关节翻修置换术。
Bone Joint J. 2017 Apr;99-B(4 Supple B):11-16. doi: 10.1302/0301-620X.99B4.BJJ-2016-1201.R1.
10
Increased risk of periprosthetic femur fractures associated with a unique cementless stem design.与一种独特的非骨水泥型股骨柄设计相关的假体周围股骨骨折风险增加。
Clin Orthop Relat Res. 2015 Jun;473(6):2045-53. doi: 10.1007/s11999-014-4077-9. Epub 2014 Dec 12.

本文引用的文献

1
Long-term outcomes of Wagner self-locking stem with bone allograft for Paprosky type II and III bone defects in revision total hip arthroplasty: A mean 15.7-year follow-up.采用同种异体骨移植的瓦格纳自锁柄治疗翻修全髋关节置换术中帕罗斯基II型和III型骨缺损的长期疗效：平均15.7年随访
J Orthop Surg (Hong Kong). 2019 May-Aug;27(2):2309499019854156. doi: 10.1177/2309499019854156.
2
Fixation of a modular curved revision stem with a taper of 2° in the femur.在股骨中固定一个锥度为2°的模块化弯曲翻修柄。
Arch Orthop Trauma Surg. 2019 Jan;139(1):127-133. doi: 10.1007/s00402-018-3067-x. Epub 2018 Nov 10.
3
Tapered vs Cylindrical Stem Fixation in a Model of Femoral Bone Deficiency in Revision Total Hip Arthroplasty.
翻修全髋关节置换术中股骨骨缺损模型中锥形与圆柱形柄固定的比较
J Arthroplasty. 2016 Jun;31(6):1352-1355. doi: 10.1016/j.arth.2015.12.008. Epub 2015 Dec 18.
4
The Transfemoral Approach for Removal of Well-Fixed Femoral Stems in 2-Stage Septic Hip Revision.两期感染性髋关节翻修术中经股入路取出牢固固定股骨柄的方法
J Arthroplasty. 2016 May;31(5):1065-71. doi: 10.1016/j.arth.2015.11.008. Epub 2015 Nov 26.
5
[Application of modular cementless femoral stems in complex revision hip arthroplasty].模块化非骨水泥型股骨柄在复杂髋关节翻修术中的应用
Zhongguo Gu Shang. 2015 Mar;28(3):198-204.
6
Revision total hip arthroplasty in patients with extensive proximal femoral bone loss using a fluted tapered modular femoral component.使用带槽锥形模块化股骨组件对股骨近端广泛骨丢失患者进行全髋关节翻修术。
Bone Joint J. 2015 Mar;97-B(3):312-7. doi: 10.1302/0301-620X.97B3.34684.
7
Revision arthroplasty in periprosthetic fractures of the proximal femur.股骨近端假体周围骨折的翻修关节成形术。
Oper Orthop Traumatol. 2014 Oct;26(5):455-68. doi: 10.1007/s00064-014-0305-4. Epub 2014 Sep 28.
8
Mid term results with the curved modular tapered, fluted titanium Revitan stem in revision hip replacement.翻修髋关节置换术中使用弯曲的模块化锥形、有凹槽的钛 Revitan 柄的中期结果。
Bone Joint J. 2014 Jul;96-B(7):889-95. doi: 10.1302/0301-620X.96B7.33280.
9
A comparison of modular tapered versus modular cylindrical stems for complex femoral revisions.比较用于复杂股骨翻修的模块化锥形与模块化圆柱形柄。
J Arthroplasty. 2013 Sep;28(8 Suppl):71-3. doi: 10.1016/j.arth.2013.04.052.
10
Three to seven year follow-up of a tapered modular femoral prosthesis in revision total hip arthroplasty.锥形模块化股骨假体在翻修全髋关节置换术中的 3 至 7 年随访结果。
Arch Orthop Trauma Surg. 2013 Feb;133(2):275-81. doi: 10.1007/s00402-012-1644-y. Epub 2012 Nov 3.