Khan M A, O'Driscoll M
J Bone Joint Surg Br. 1977 Feb;59(1):36-41. doi: 10.1302/0301-620X.59B1.845226.
Seventeen femoral fractures occurred in 1,751 operations for total hip replacement. They usually occurred during dislocation of the hip, reaming of the shaft, or insertion of the femoral component, and were common in second operations. The short oblique fracture can be controlled by use of the standard implant, and the long oblique fracture by internal fixation. Fractures well below the implant should probably be treated by continous traction. The eventual results were adequate in all cases. The liability to fracture can be reduced by taking special care during operation in particulary susceptible cases.
在1751例全髋关节置换手术中发生了17例股骨骨折。这些骨折通常发生在髋关节脱位、股骨干扩髓或股骨假体植入过程中，在二次手术中较为常见。短斜形骨折可通过使用标准假体来控制，长斜形骨折则需行内固定。假体下方较远部位的骨折可能应采用持续牵引治疗。所有病例的最终结果均良好。在特别易发生骨折的病例中，术中特别小心可降低骨折的发生率。
