苗绍刚 1鲁宁 1杨阳 1陈磊杰 1Bassam A.Masrie2
作者信息
- 1. 昆明医科大学第二附属医院骨科，云南省昆明市 650101
- 2. Department of Orthopaedics，University of British Columbia，Vancouver，Canada
- 折叠
摘要
Abstract
BACKGROUND: As the patients undergoing total hip replacements and revision increase, the incidence and complexity of postoperative periprosthetic femoral fractures are accordingly increasing and its treatment becomes a chal enge.
<br> OBJECTIVE: To review the literatures related to periprosthetic femoral fractures after total hip arthroplasty, to explore related risk factors, Vancouver classification, and treatment.
<br> METHODS: A computer-based online search was performed in the Chinese National Knowledge Internet (CNKI) database, FMJS database and PubMed database from September 1994 to June 2012 for the literatures related to periprosthetic femoral fractures after total hip arthroplasty. The key words were“total hip arthroplasty, periprosthetic femoral fractures”in Chinese and English. The articles published earlier and repetitive researches were excluded.
<br> RESULTS AND CONCLUSION:Postoperative periprosthetic femoral fractures after total hip arthroplasty are increasing in frequency with the increasing numbers of total hip arthroplasty patients. The risk factors mainly include aging and gender of the patients, trauma, fixation pattern, prosthetic loosening, revision, osteolysis, diseases before replacement, osteoporosis, type of prosthesis, and surgical technique. It is very important to understand the risk factors involved for the prevention and treatment of periprosthetic femoral fractures. Vancouver classification of periprosthetic femoral fractures is based on the site and stability of fractures, prosthetic loosening, and proximal bone mass. This classification is very common in clinical practice. Clinical treatment should consider the type of fracture, loosening of the prosthesis and bone loss of proximal femur.关键词
植入物/骨植入物/骨与关节综述/全髋关节置换/股骨假体周围骨折/危险因素/预防/Vancouver分型/假体松动/骨缺损Key words
arthroplasty, replacement, hip/hip prosthetics/femur/periprosthetic femoral fractures/osteolysis分类
医药卫生
