Optimizing Proximal Fixation in Vancouver B1 Periprosthetic Femur Fractures

被引：0

作者：

Yevtukh, Alexander ^{[1
,3
]}

Taylor, Aaron ^{[2
]}

机构：

[1] UPMC Harrisburg, Dept Orthopaed Surg, Harrisburg, PA USA

[2] UPMC, Dept Orthopaed Surg, Pittsburgh, PA USA

[3] UPMC, Dept Orthoped Surg, 1350 Locust St,Suite 220, Pittsburgh, PA 15219 USA

来源：

OPERATIVE TECHNIQUES IN ORTHOPAEDICS | 2023年 / 33卷 / 02期

关键词：

periprosthetic fracture; hip fracture; geratric fracture; arthroplasty fracture; fracture fixation; FEMORAL-SHAFT FRACTURES; TOTAL HIP IMPLANT; PLATE FIXATION; TIP; BIOMECHANICS; STABILITY; STIFFNESS; FAILURE;

D O I：

10.1016/j.oto.2023.101044

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Vancouver B1 periprosthetic femur fractures present several challenges to the treating sur-geon. Particularly difficult is achieving adequate fixation proximally in the presence of a femoral prosthesis and often poor bone quality. Standard screw fixation may not always be feasible, so often a combination of techniques must be used. Multiple fixation options exist without a consensus on the optimal fixation strategy. This article will review the literature and include radiographic case examples of several fixation strategies, including cerclage devices, screws, accessory plates, and double plating. Oper Tech Orthop 33:101044 & COPY; 2023 Published by Elsevier Inc.

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页数：6

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