Intraoperative fractures during hip and knee replacement

被引:0
作者
Lenz, M. [1 ]
Gras, F. [1 ]
Marintschev, I. [1 ]
Hofmann, G. O. [1 ,2 ]
机构
[1] Friedrich Schiller Univ Jena, Klin Unfall Hand & Wiederherstellungschirurg, Erlanger Allee 101, D-07747 Jena, Germany
[2] BG Kliniken Bergmannstrost, Klin Unfall & Wiederherstellungschirurg, Halle, Saale, Germany
关键词
Periprosthetic fractures; Arthroplasty; replacementm; hip; replacement; knee; Cerclage; Revision surgery;
D O I
10.1007/s10039-013-1927-8
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Frequency and risk factors. The rising numbers of primary joint replacements and revision surgery as well as a changing age structure have led to an increase in intraoperative periprosthetic fractures. Risk factors are revision surgery, uncemented cups, stems and long stems, reduced bone quality and female sex. Preventive procedures have to be taken into consideration. Therapy. The intraoperative diagnosis of this type of fracture is essential for adequate treatment and an excellent outcome without impairment in function or quality of life. The treatment focuses on fracture stabilization, prevention of propagation and on stable fixation of the prosthesis.
引用
收藏
页码:17 / 24
页数:8
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