在全膝关节关节整形术后的周围假肢骨折
Francisco Bengoa1, Michael E Neufeld, Lisa C Howard
1From the Department of Orthopaedics, the University of British Columbia, Vancouver, Canada.
概括
在全膝关节整形术后,手术后的周围假肢骨折越来越令人担忧. 温哥华分类为管理这些复杂骨折提供了一种标准化的方法,这些骨折对于最佳的患者结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 全膝关节整形术 (TKA) 程序在全球范围内越来越多.
- 手术后的周围假肢骨折是TKA的重要并发症.
- 股骨骨折是最常见的,而骨和骨骨折是罕见的.
研究的目的:
- 为了突出全膝关节关节整形术后周围假肢骨折的发生率增加.
- 讨论基于位置和植入物状态的这些骨折的治疗原则.
- 强调温哥华分类对标准化管理的有用性.
主要方法:
- 在TKA之后对周围假肢骨折的当前文献的综述.
- 基于骨折位置 (大腿骨,大腿骨,骨) 的治疗策略的分析.
- 温哥华分类系统用于伤害评估和管理的应用.
主要成果:
- 股骨周假肢骨折是TKA植入物周围最常见的类型.
- 治疗的成功取决于骨折位置,植入物固定,骨质量和可用的假肢.
- 温哥华分类为管理这些骨折提供了一个系统的框架.
结论:
- 周围假肢骨折的有效管理需要一个系统的方法.
- 与这些骨折相关的结果和死亡率与部骨折相当.
- 标准化分类和治疗对于改善患者预后至关重要.
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