Mohler Samantha A, Stambough Jeffery B, Mears Simon C, Barnes Charles Lowry, Stronach Benjamin M
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 W Markham St, Mail Slot # 531, Little Rock, AR 72205, USA.
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 W Markham St, Mail Slot # 531, Little Rock, AR 72205, USA.
Orthop Clin North Am. 2021 Oct;52(4):357-368. doi: 10.1016/j.ocl.2021.05.006. Epub 2021 Jul 29.
Periprosthetic fracture occurring during or after total knee arthroplasty is a rare injury. Literature concerning periprosthetic tibial factures is sparse, and there is limited guidance for evidence-based management. This review aims to provide readers with an overview of the epidemiology, risk factors, and classification of these fractures. Management includes nonoperative treatment of nondisplaced fractures, fixation for those with stable implants, and revision for those with loose implants.
全膝关节置换术中或术后发生的假体周围骨折是一种罕见的损伤。关于假体周围胫骨骨折的文献稀少,且基于证据的管理指导有限。本综述旨在为读者提供这些骨折的流行病学、危险因素和分类的概述。治疗方法包括对无移位骨折进行非手术治疗,对植入物稳定的骨折进行固定,以及对植入物松动的骨折进行翻修。