The treatment of periprosthetic femur fracture after hip arthroplasty
10.3760/cma.j.issn.1008-6706.2013.22.012
- VernacularTitle:全髋关节置换术后股骨假体周围骨折的治疗
- Author:
Zigui YAN
;
Chunqing MA
;
Jinzhong MA
;
Yong HAN
;
Xiaodong SUN
- Publication Type:Journal Article
- Keywords:
Arthroplasty,replacement,hip;
Prosthesis;
Fractures,bone;
Treatment
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(22):3386-3387
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the treatment methods of periprosthetic femur fracture after hip arthroplasty.Methods 9 patiens with periprosthetic femur fracture after hip arthroplasty were selected.According to Vancouver classification,there were 1 case in A type,5 cases in B1 type,2 cases in B2 type,1 case in C type.One case were treated by nonoperative method and the other 8 cases were treated by operative method,including 5 cases treated by memory alloy embracing fixator and internal fixation,3 cases treated by long stem prosthetic replacement and iliac bone graft.Results 8 cases were followed up for 8 to 21 months,average 14.2 months.All fractures were united well with good alignment and internal fixation failure except one prosthesis loosing was observed.Conclusion For periprosthetic femur fracture after hip arthroplasty,Vancouver classification methods include the location and stability of the fracture,prosthesis loosening,and the femur in bone mass is importance to the clinical treatment.As to A type fracture,prosthesis is stable,and the conservative treatment can be choosed.As to B1 and B2 type fracture,the aggressive surgical treatment can be choosed based on patients' general condition.If prosthesis loosening after artificial hip arthroplasty,the patients should treated with long stem prosthetic replacement.
