Periprosthetic fractures associated with osteolysis - A problem on the rise
Periprosthetic fractures associated with osteolysis - A problem on the rise
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DOI：
10.1054/arth.2003.50109
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发表时间：
2003-04-01
影响因子：
3.5
通讯作者：
Berry, DJ
中科院分区：
文献类型：
--
作者：
Berry, DJ
髋关节置换术后骨盆、粗隆周围或股骨骨干处可发生骨质溶解引起的假体周围骨折。大多数（但不是全部）髋部最终都会接受手术治疗，以控制骨质溶解或稳定骨折。一些稳定的、移位最小的骨盆和大转子骨折可以在考虑修复之前先愈合，从而简化手术。不稳定骨折，尤其是股骨骨干骨折，通常按照假体周围骨折处理的既定原则，通过早期重复手术进行治疗。
Periprosthetic fractures caused by osteolysis can occur in the pelvis, peritrochanteric area, or femoral diaphysis after hip arthroplasty. Most, but not all, hips are ultimately treated surgically to manage the osteolysis or to stabilize the fracture. Some stable, minimally displaced fractures of the pelvis and greater trochanter can be allowed to heal before revision is considered, which simplifies the operation. Unstable fractures, especially of the femoral diaphysis, are usually treated with early repeat surgery following the established principles of periprosthetic fracture management.