髋关节假体周围骨折的处理:现状与前景;马拉喀什穆罕默德六世大学医院创伤和矫形科的经验。

Q3 Medicine
Brahim Demnati, El Mehdi Boumediane, Fahd Idarrha, Siham Dkhissi, Mohamed Amine Benhima, Imad Abkari, Samir Ibn Moussa, Mohamed Rafai, Mohamed Rahmi
{"title":"髋关节假体周围骨折的处理:现状与前景;马拉喀什穆罕默德六世大学医院创伤和矫形科的经验。","authors":"Brahim Demnati, El Mehdi Boumediane, Fahd Idarrha, Siham Dkhissi, Mohamed Amine Benhima, Imad Abkari, Samir Ibn Moussa, Mohamed Rafai, Mohamed Rahmi","doi":"10.62438/tunismed.v102i6.4692","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The increase in hip arthroplasties predicts a rise in periprosthetic fractures in Morocco, posing challenges for orthopedic surgeons. Therapeutic strategies vary considerably, highlighting the absence of a universally accepted treatment protocol.</p><p><strong>Aim: </strong>To analyze the management of per-prosthetic hip fractures, while addressing the challenges associated with them.</p><p><strong>Methods: </strong>This was a retrospective study, conducted in the trauma-orthopedics department between December 2015 and November 2022. Nineteen patients who presented to the hospital with fractures around a hip prosthesis were included.</p><p><strong>Result: </strong>Nineteen periprosthetic fractures were observed. The majority of patients (68%) were women, with an average age of 68. The Vancouver classification showed that 52.6% of the fractures were type B1, and 21.1% type C, while the other fracture types were distributed differently. These fractures were mainly associated with diagnoses such as femoral neck fracture (63.2%) and coxarthrosis (31.6%). We observed variations in treatment recommendations and results between the different series analyzed. We noted discrepancies with certain series concerning fracture types and therapeutic choices. However, in our series, we achieved satisfactory results, with successful consolidation and the absence of complications in all patients.</p><p><strong>Conclusion: </strong>These results underline the importance of an individualized approach to fracture management, taking into account the specificities of each case.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"102 6","pages":"354-359"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358790/pdf/","citationCount":"0","resultStr":"{\"title\":\"Management of periprosthetic hip fractures: current status and prospects; experience of the traumatology and orthopedics department of Mohammed VI University Hospital, Marrakech.\",\"authors\":\"Brahim Demnati, El Mehdi Boumediane, Fahd Idarrha, Siham Dkhissi, Mohamed Amine Benhima, Imad Abkari, Samir Ibn Moussa, Mohamed Rafai, Mohamed Rahmi\",\"doi\":\"10.62438/tunismed.v102i6.4692\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>The increase in hip arthroplasties predicts a rise in periprosthetic fractures in Morocco, posing challenges for orthopedic surgeons. Therapeutic strategies vary considerably, highlighting the absence of a universally accepted treatment protocol.</p><p><strong>Aim: </strong>To analyze the management of per-prosthetic hip fractures, while addressing the challenges associated with them.</p><p><strong>Methods: </strong>This was a retrospective study, conducted in the trauma-orthopedics department between December 2015 and November 2022. Nineteen patients who presented to the hospital with fractures around a hip prosthesis were included.</p><p><strong>Result: </strong>Nineteen periprosthetic fractures were observed. The majority of patients (68%) were women, with an average age of 68. The Vancouver classification showed that 52.6% of the fractures were type B1, and 21.1% type C, while the other fracture types were distributed differently. These fractures were mainly associated with diagnoses such as femoral neck fracture (63.2%) and coxarthrosis (31.6%). We observed variations in treatment recommendations and results between the different series analyzed. We noted discrepancies with certain series concerning fracture types and therapeutic choices. However, in our series, we achieved satisfactory results, with successful consolidation and the absence of complications in all patients.</p><p><strong>Conclusion: </strong>These results underline the importance of an individualized approach to fracture management, taking into account the specificities of each case.</p>\",\"PeriodicalId\":38818,\"journal\":{\"name\":\"Tunisie Medicale\",\"volume\":\"102 6\",\"pages\":\"354-359\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358790/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tunisie Medicale\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.62438/tunismed.v102i6.4692\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tunisie Medicale","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.62438/tunismed.v102i6.4692","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

摘要

导言:髋关节置换术的增加预示着摩洛哥假体周围骨折的增加,这给矫形外科医生带来了挑战。目的:分析假体周围髋部骨折的治疗方法,同时应对与之相关的挑战:这是一项回顾性研究,于2015年12月至2022年11月期间在创伤矫形科进行。共纳入19名因髋关节假体周围骨折就诊的患者:结果:共观察到19例假体周围骨折。大多数患者(68%)为女性,平均年龄为 68 岁。根据温哥华分类法,52.6%的骨折属于B1型,21.1%属于C型,而其他骨折类型的分布则各不相同。这些骨折主要与股骨颈骨折(63.2%)和髋关节病(31.6%)等诊断有关。我们观察到,在所分析的不同系列中,治疗建议和结果存在差异。我们注意到某些系列在骨折类型和治疗选择方面存在差异。然而,在我们的系列研究中,我们取得了令人满意的结果,所有患者都成功地进行了巩固治疗,并且没有出现并发症:这些结果强调了根据每个病例的具体情况采取个性化骨折治疗方法的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of periprosthetic hip fractures: current status and prospects; experience of the traumatology and orthopedics department of Mohammed VI University Hospital, Marrakech.

Introduction: The increase in hip arthroplasties predicts a rise in periprosthetic fractures in Morocco, posing challenges for orthopedic surgeons. Therapeutic strategies vary considerably, highlighting the absence of a universally accepted treatment protocol.

Aim: To analyze the management of per-prosthetic hip fractures, while addressing the challenges associated with them.

Methods: This was a retrospective study, conducted in the trauma-orthopedics department between December 2015 and November 2022. Nineteen patients who presented to the hospital with fractures around a hip prosthesis were included.

Result: Nineteen periprosthetic fractures were observed. The majority of patients (68%) were women, with an average age of 68. The Vancouver classification showed that 52.6% of the fractures were type B1, and 21.1% type C, while the other fracture types were distributed differently. These fractures were mainly associated with diagnoses such as femoral neck fracture (63.2%) and coxarthrosis (31.6%). We observed variations in treatment recommendations and results between the different series analyzed. We noted discrepancies with certain series concerning fracture types and therapeutic choices. However, in our series, we achieved satisfactory results, with successful consolidation and the absence of complications in all patients.

Conclusion: These results underline the importance of an individualized approach to fracture management, taking into account the specificities of each case.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Tunisie Medicale
Tunisie Medicale Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
72
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信