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用于人工关节置换术后股骨骨折的逆行髓内钉/钢板联合固定术:技术说明及病例系列

Retrograde nail/plate combination for interprosthetic femoral fractures: technical note and case series.

作者信息

Shaath M Kareem, Page Brendan, Kosko Brendan, Rechter Griffin, Nasir Bader, Jacobs Elizabeth, Haidukewych George

机构信息

Orlando Health Jewett Orthopedic Institute, Orlando, United States.

出版信息

Eur J Orthop Surg Traumatol. 2025 Jun 17;35(1):253. doi: 10.1007/s00590-025-04365-7.

DOI:10.1007/s00590-025-04365-7
PMID:40528063
Abstract

Interprosthetic femoral fractures between a total hip arthroplasty and a total knee arthroplasty pose a unique problem as they most commonly occur in the fragile metaphyseal supracondylar region. There remains ongoing debate over the ideal fixation strategy for this injury pattern. The goal of this study was to highlight a combined retrograde intramedullary nail and minimally invasive locked lateral plating technique with a periprosthetic plating system. Postoperatively patients were allowed to fully weight bear on this fixation construct. A large case series of patients treated with this treatment strategy will be presented.

摘要

全髋关节置换术和全膝关节置换术之间的股骨假体间骨折是一个独特的问题,因为它们最常发生在脆弱的干骺端髁上区域。对于这种损伤模式的理想固定策略仍存在持续的争论。本研究的目的是强调一种联合逆行髓内钉和微创锁定外侧钢板技术,并使用假体周围钢板系统。术后允许患者在这种固定结构上完全负重。将展示一系列采用这种治疗策略治疗的大量病例。

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Retrograde nail/plate combination for interprosthetic femoral fractures: technical note and case series.用于人工关节置换术后股骨骨折的逆行髓内钉/钢板联合固定术:技术说明及病例系列
Eur J Orthop Surg Traumatol. 2025 Jun 17;35(1):253. doi: 10.1007/s00590-025-04365-7.
2
The influence of the operation technique and implant used in the treatment of periprosthetic hip and interprosthetic femur fractures: a systematic literature review of 1571 cases.手术技术及植入物在人工髋关节周围和人工股骨间骨折治疗中的影响:对1571例病例的系统文献综述
Arch Orthop Trauma Surg. 2016 Apr;136(4):553-61. doi: 10.1007/s00402-016-2407-y. Epub 2016 Jan 18.
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Nail Plate Combination Technique for Native and Periprosthetic Distal Femur Fractures.指骨与假体周围股骨远端骨折的钉板组合技术。
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Stable Fixation and Immediate Weight-Bearing After Combined Retrograde Intramedullary Nailing and Open Reduction Internal Fixation of Noncomminuted Distal Interprosthetic Femur Fractures.非粉碎性股骨假体周围远端骨折采用逆行髓内钉固定联合切开复位内固定后的稳定固定和即刻负重
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Interprosthetic femoral fractures-A challenge of treatment. A systematic review of the literature.人工关节假体周围股骨骨折-治疗的挑战。文献系统回顾。
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