股骨假体间骨折的外科治疗策略。

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Orthopadie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-07-29 DOI:10.1007/s00132-025-04686-9
Christian Ries, Holger Bäthis, Stephan Kirschner, Patrick Gerhardt, Eva Goedecke, Tim Rolvien, Frank Timo Beil
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引用次数: 0

摘要

由于人口结构的变化,可以预见关节置换术的数量会进一步增加。正如近年来所观察到的,预计假体周围骨折的进一步增加。股骨假体间骨折是同侧髋关节和膝关节内假体的严重并发症。虽然假体间骨折的发生率很低,但骨折处理的要求很高。在骨折治疗的决策过程中,除了剩余的种植体稳定性外,骨质量和合并症也必须考虑在内。外科医生在各种植骨手术和翻修关节成形术方面的专业知识似乎是不可或缺的。考虑到各种患者特异性因素,以下文章概述了假体间骨折的手术治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Surgical treatment strategies for interprosthetic femoral fractures].

Due to demographic changes, a further increase in the number of arthroplasty procedures can be anticipated. As has been observed in recent years, a further increase in periprosthetic fractures is to be expected. An interprosthetic femoral fracture is a serious complication in cases of ipsilateral hip and knee endoprostheses. Although the incidence of interprosthetic fractures is low, fracture management can be highly demanding. In addition to the remaining implant stability, bone quality and comorbidities must also be taken into account in the decision-making process of fracture treatment. The surgeon's expertise in various osteosynthesis procedures and revision arthroplasty techniques appears to be indispensable. Taking into account various patient-specific factors, the following article provides an overview of the surgical treatment options for interprosthetic fractures.

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