Cursaru Adrian, Popa Mihnea, Cretu Bogdan, Iordache Sergiu, Iacobescu Georgian L, Spiridonica Razvan, Rascu Angel, Serban Bogdan, Cirstoiu Catalin
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, ROU.
Orthopedics and Traumatology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Cureus. 2024 Jan 31;16(1):e53269. doi: 10.7759/cureus.53269. eCollection 2024 Jan.
The increasing prevalence of periprosthetic femoral fractures, specifically in the vicinity of the hip, has emerged as a significant issue in recent times. Consequently, there is a need for a thorough examination to enhance the effectiveness of management and treatment approaches. The findings of this study emphasize a significant disparity in the occurrence and characteristics of these fractures, and the multiple cases have highlighted the efficacy of various treatment strategies, such as open reduction and internal fixation, as well as the utilization of cortical strut allografts. Furthermore, the study has identified potential risk factors that have an impact on the characteristics of fractures, providing valuable insights that could be crucial in the development of preventive strategies. This study provides a thorough examination of periprosthetic femoral fractures, highlighting the importance of a cohesive treatment algorithm to improve the handling of such fractures. Moreover, it promotes the need for a collaborative endeavor in conducting research in this field, cultivating a more profound comprehension that has the potential to drive progress in therapeutic approaches, ultimately enhancing patient results over an extended period of time. It is crucial that forthcoming research endeavors persist in expanding upon these discoveries, striving towards a unified methodology in tackling this substantial clinical obstacle.
近年来，假体周围股骨骨折，尤其是在髋关节附近的骨折患病率不断上升，已成为一个重大问题。因此，需要进行全面检查，以提高管理和治疗方法的有效性。本研究结果强调了这些骨折在发生率和特征方面存在显著差异，多个病例突出了各种治疗策略的有效性，如切开复位内固定以及使用皮质支撑异体骨移植。此外，该研究还确定了对骨折特征有影响的潜在风险因素，提供了宝贵的见解，这对制定预防策略可能至关重要。本研究对假体周围股骨骨折进行了全面检查，强调了连贯的治疗方案对于改善此类骨折处理的重要性。此外，它还推动了在该领域开展研究的合作努力，培养了更深刻的理解，这有可能推动治疗方法的进步，最终在更长时间内改善患者的治疗效果。至关重要的是，未来的研究工作应继续扩展这些发现，努力朝着解决这一重大临床障碍的统一方法迈进。
