股骨远端假体骨折的翻修全膝关节置换术。

IF 2.3 3区医学 Q2 ORTHOPEDICS

Orthopaedics & Traumatology-Surgery & Research Pub Date : 2024-11-01 DOI:10.1016/j.otsr.2024.103856

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引用次数: 0

摘要

股骨远端假体周围骨折的治疗策略取决于骨折的类型、与假体的相对水平以及假体的固定情况。通常的治疗方法是使用钢钉或锁定钢板进行内固定。当骨折部位靠近关节、假体不稳定或伴有骨量减少时，内固定会更加困难，此时应根据患者的健康状况考虑更换假体。对于年老体弱的患者来说，这样做的目的是在限制并发症和缩短手术时间的同时尽快恢复。本研究详细介绍了股骨远端假体周围骨折的假体翻修技术，该技术需要创伤学和假体翻修方面的经验，以及适合具体情况的材料。证据等级：V级，专家意见。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revision total knee arthroplasty with periprosthetic distal femoral fracture

Treatment strategies for periprosthetic distal femoral fracture depend on the type of fracture, level with respect to the prosthesis, and prosthesis fixation. The usual treatment is internal fixation by nail or locking plate. This can be more difficult when the fracture is close to the joint, is destabilizing the prosthesis or is associated with reduced bone stock, and implant exchange should be considered, depending on the patient's health status. The aim is to obtain the fastest possible recovery while limiting complications and minimizing surgery time for often frail and elderly patients. The present study details the implant revision technique in periprosthetic distal femoral fracture, which requires experience in traumatology and prosthetic revision and material adapted to the situation.

Level of evidence

V, expert opinion.

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来源期刊

Orthopaedics & Traumatology-Surgery & Research 医学-外科

CiteScore

5.10

自引率

26.10%

发文量

329

审稿时长

12.5 weeks

期刊介绍： Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.