PMID: 30810111Feb 28, 2019Paper

Analiza postępowania w złamaniach okołoprotezowych kości udowej po endoprotezoplastyce stawu biodrowego

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
Przemysław MatuszewskiKatarzyna Kiwerska-Jagodzińska

Abstract

Fracture around the femoral shaft after hip arthroplasty is rarely trauma. On the other hand, the surgical supply of this fracture is a very demanding process, because we deal with older, often patients with risk factors, with poor bone quality and a broken bone canal filled with a prosthesis stem. The aim of the study is to analyze the frequency of these fractures over the years 2005-2011 and examples of surgical solutions (plate fixation, revision stems). In the discussed period, 12 patients were treated for periprosthetic fracture of the femur. The analysis excluded patients with intraoperative fractures performed during primary arthroplasty. The analysis involved the mechanism of injury, the primary cause of the prosthesis, the fracture morphology (according to Vancouver classification). 11 patients were treated surgically and 1 conservatively. In 10 cases, a good or very good treatment result was obtained. In 2 patients, complications occurred and surgical treatment was necessary. Periprosthetic fractures are characterized by a high percentage of failures (18%) requiring reoperation.

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