Lotke P A, Wong R Y, Ecker M L
Clin Orthop Relat Res. 1986 May(206):147-50.
Femoral stress fractures following revision total hip arthroplasty developed about a cortical window in two patients. These cases differ from previously reported fractures in that there was no significant trauma, the pain was gradual in onset, and there was no displacement at the fracture site. Tomograms and radionuclide bone scans were necessary to reveal the fracture. One femur healed with hip spica immobilization, while the other required bone grafting. Femoral stress fractures should be considered in the differential diagnosis of patients with thigh pain after revision total hip arthroplasty, particularly if a cortical window had been necessary.
在两名患者中，翻修全髋关节置换术后发生了股骨应力性骨折，骨折发生在一个皮质开窗处。这些病例与先前报道的骨折不同，其没有明显外伤，疼痛起病渐进性，骨折部位无移位。断层扫描和放射性核素骨扫描对于发现骨折很有必要。一根股骨通过髋人字石膏固定愈合，而另一根则需要植骨。在翻修全髋关节置换术后出现大腿疼痛的患者的鉴别诊断中，应考虑股骨应力性骨折，特别是在需要皮质开窗的情况下。
