摘要
全膝关节假体周围骨折的处理仍旧是一个具有挑战性的问题。伴随着全膝关节置换手术数量、年龄较大的患者、置换后活动性的增加,周围骨折也随之增加。全膝关节置换后周围骨折可以包括股骨、胫骨和髌骨,最常见的是股骨髁上的骨折。周围骨折同样可发生在手术中。根据骨折的形态,不同的致病因素以及骨折的时间,许多方法可被选择来治疗这一复杂的问题。合理的假体周围骨折分型方法有助于临床医师评估骨折的部位、类型、假体周围骨丢失的情况及假体的固定情况。临床上要结合患者的全身情况与骨折前的关节功能,提出个体化的治疗方案,才能促进骨折愈合,重建假体周围骨量和维持关节功能。近年来,随着内固定材料和外科技术的不断提高,全膝关节假体周围骨折的外科干预技术有了很大的进展。
The management of periprosthetic fracture following total knee arthroplasty （TKA） remains a challenging problem. Periprosthetic fractures are increased with increasing TKA times, aging, and increased activity after TKA. Periprosthetic fractures after TKA involves the femur, tibia, or patella, in particular at the supracondylar region of the fomur, in addition, periprosthetic fractures can also occur in operation. According to fracture morphology, various cause factors, and the timing of fracture, a number of treatment options are available to treat this complex problem. Appropriate fracture classification would assist clinical physicians to evaluate fracture site, type, bone loss and prosthesis fixation. Because of the complexity, periprosthetic fractures often require tailored treatment to attain a more individualized treatment strategy to promote fracture healing, reconstruct bone mass and maintain joint function. Recently, with improving internal fixation materials and surgical techniques, the methods of surgical treatment of periprosthetic fracture have made great progress.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2009年第13期2527-2530,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
