Julliard R
Clinique Mutualiste-Rocheplane, Grenoble.
Rev Chir Orthop Reparatrice Appar Mot. 1996;82(2):161-5.
During replacement of loosened or painful cemented femoral prosthetic stem, the extraction of a large size distal cement plug is rarely an easy matter. To make it simple, quick and safe (no wide surgical exposure, no X-ray exposure) we propose a new technique based upon the perforation of the cement plug by a drill which crosses a jig inserted into the cavity where the femoral stem had been removed. Correctly used the procedure can help the surgeon to solve the difficult problem of removing the femoral cement plug and consequently it can allow the placement of a biomechanically ideal conventional length femoral component into a femur not weakened by a perforation, a fenestration or an osteotomy.
在更换松动或引起疼痛的骨水泥固定股骨假体柄时，取出大尺寸的远端骨水泥塞绝非易事。为了使其操作简单、快速且安全（无需广泛手术暴露，无需X线暴露），我们提出一种新技术，该技术基于用钻头穿过插入已取出股骨柄的腔隙中的夹具来对骨水泥塞进行穿孔。正确使用该方法可帮助外科医生解决取出股骨骨水泥塞这一难题，从而能够将生物力学理想的常规长度股骨部件置入未因穿孔、开窗或截骨而削弱的股骨中。
