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处理假体周围骨折:关于假体周围骨盆骨折的观点

Managing periprosthetic fractures: perspectives on periprosthetic pelvic fractures.

作者信息

de Ridder Victor A, Pape Hans-Christoph, Chana-Rodríguez Francisco, Boudissa Mehdi, Glowalla Claudio, Stuby Fabian, Herath Steven, Histing Tina, Tilkeridis Konstantinos, Dailiana Zoe

机构信息

Professor Emergency Care and Logistics, Trauma and Pediatric Trauma, University of Utrecht, The Netherlands.

Department of Trauma, University of Zürich, Switzerland.

出版信息

OTA Int. 2023 Mar 28;6(1 Suppl):e266. doi: 10.1097/OI9.0000000000000266. eCollection 2023 Mar.

DOI:10.1097/OI9.0000000000000266
PMID:37006450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10064643/
Abstract

Periacetabular periprosthetic fractures are rare but potentially disastrous for the longevity of the adjacent implants, leading to multiple revision surgeries. It is of paramount importance to identify and treat intraoperative fractures, which will lead to satisfactory results. Postoperative fractures may be managed operatively or nonoperatively depending on the patient's pain and function, the fracture pattern, and the stability of the acetabular component.

摘要

髋臼周围假体周围骨折虽罕见,但对相邻植入物的长期使用可能造成灾难性后果,会导致多次翻修手术。识别并处理术中骨折至关重要,这将带来满意的结果。术后骨折可根据患者的疼痛和功能、骨折类型以及髋臼部件的稳定性,采取手术或非手术方式进行处理。

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本文引用的文献

1
[Techniques and results of primary hip arthroplasty in geriatric acetabular fractures].[老年髋臼骨折初次髋关节置换术的技术与结果]
Unfallchirurgie (Heidelb). 2022 Dec;125(12):924-935. doi: 10.1007/s00113-022-01253-1. Epub 2022 Nov 17.
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Biomechanical comparison of acetabular fracture fixation with stand-alone THA or in combination with plating.髋臼骨折内固定与单纯全髋关节置换术或联合钢板内固定的生物力学比较。
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3
Pelvic discontinuity: a challenge to overcome.
骨盆不连续:一项有待克服的挑战。
EFORT Open Rev. 2021 Jun 28;6(6):459-471. doi: 10.1302/2058-5241.6.210022. eCollection 2021 Jun.
4
Periprosthetic hip fractures: an update into their management and clinical outcomes.人工髋关节周围骨折:治疗与临床结果的最新进展
EFORT Open Rev. 2021 Jan 4;6(1):75-92. doi: 10.1302/2058-5241.6.200050. eCollection 2021 Jan.
5
Closed reduction and minimally invasive surgical treatment of type IIIa fragility fractures of the pelvis associated with ipsilateral periprosthetic femur fracture: A case report.骨盆Ⅲa型脆性骨折合并同侧人工股骨周围骨折的闭合复位及微创手术治疗:1例报告
Trauma Case Rep. 2020 Nov 6;30:100374. doi: 10.1016/j.tcr.2020.100374. eCollection 2020 Dec.
6
Factors predisposing to thrombosis after major joint arthroplasty.大关节置换术后血栓形成的易患因素。
World J Orthop. 2020 Sep 18;11(9):400-410. doi: 10.5312/wjo.v11.i9.400.
7
[Periprosthetic fractures of the acetabulum: revision endoprosthetics].髋臼周围骨折:翻修人工关节
Chirurg. 2020 Oct;91(10):823-832. doi: 10.1007/s00104-020-01240-5.
8
Occult intra-operative periprosthetic fractures of the acetabulum may affect implant survival.髋臼假体周围隐匿性术中骨折可能影响假体的存活率。
Int Orthop. 2019 Jul;43(7):1583-1590. doi: 10.1007/s00264-018-4084-7. Epub 2018 Aug 10.
9
Periprosthetic fractures: epidemiology and current treatment.人工关节周围骨折:流行病学与当前治疗方法
Clin Cases Miner Bone Metab. 2017 May-Aug;14(2):189-196. doi: 10.11138/ccmbm/2017.14.1.189. Epub 2017 Oct 25.
10
Fracture and Dislocation Classification Compendium-2018.《骨折与脱位分类汇编 - 2018》
J Orthop Trauma. 2018 Jan;32 Suppl 1:S1-S170. doi: 10.1097/BOT.0000000000001063.