■由于初次关节置换手术的频率增加,假体周围骨折越来越受到关注,全髋关节置换术是最常见的。翻修手术后假体周围骨折的发生率为4%至11%,膝关节翻修手术后报告高达30%。此病例报告旨在描述一名81岁女性在半髋关节置换术后被忽视的股骨假体周围骨折的治疗方法。
方法:一名81岁女性,有人工股骨头置换手术史,有高血压,右大腿疼痛入院。她患有股骨中段骨折,计划进行切开复位和内固定。尽管完全清醒并且有平均脉搏率和血压,她有心脏肿大和充血性肺脏。不幸的是,该患者在发生1个月后未接受适当的药物治疗.手术后,我们评估了植入物,植入物稳定了骨折。手术后1-3个月,LEFS(下肢功能量表)评分发现,手术后评分显着增加。
■温哥华分类系统通过评估位置来管理假体周围骨折,稳定性,和骨骼质量。A型骨折累及转子,而B型骨折是骨干,可以向远端延伸。ORIF用于B1亚型骨折,但是较新的技术提供了更短的手术时间和更少的并发症。
结论:从这项研究来看,我们可以得出的结论是,即使忽略了病例,根据临床评估,使用ORIF进行手术也能保证良好的结局.
UNASSIGNED: Periprosthetic fractures are a growing concern due to the increasing frequency of primary joint replacement surgery, with total hip arthroplasty being the most common. The incidence of periprosthetic fractures after revision surgery ranges from 4 to 11 %, with up to 30 % reported after knee revision surgery. This
case report aims to describe the treatment of an 81-year-old woman suffering from neglected periprosthetic femoral fracture post hemiarthroplasty.
METHODS: An 81-year-old woman with a history of hemiarthroplasty surgery and hypertension was admitted to the ER with pain in her right thigh. She had a middle shaft femoral fracture and was scheduled for open reduction and internal fixation. Despite being fully conscious and having an average pulse rate and blood pressure, she had cardiomegaly and congestive pulmonum. Unfortunately, this patient did not receive appropriate medical treatment after it occurred for 1 month. After surgery, we evaluated the implant, and the implant stabilized the fracture. After 1-3 months after surgery, the LEFS (The Lower Extremity Functional Scale) score was found that the score increase significantly after surgery.
UNASSIGNED: The Vancouver classification system manages periprosthetic fractures by assessing location, stability, and bone quality. Type A fractures involve the trochanter, while type B fractures are diaphyseal and can extend distally.
ORIF is used for subtype B1 fractures, but newer techniques offer shorter operating times and fewer complications.
CONCLUSIONS: From this study, we can conclude that even though neglected cases procedure with
ORIF promises a good outcome based on clinical evaluation.