Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes.

IF 4.3 2区 医学 Q1 ORTHOPEDICS Efort Open Reviews Pub Date : 2020-09-30 eCollection Date: 2020-09-01 DOI:10.1302/2058-5241.5.200003
Ashoklal Ramavath, Jonathan N Lamb, Jeya Palan, Hemant G Pandit, Sameer Jain
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引用次数: 17

Abstract

The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden.A detailed understanding of risk factors is required in order to guide preventative strategies.Different femoral stems have unique characteristics and management strategies must be tailored appropriately.Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems.Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses. Cite this article: EFORT Open Rev 2020;5:558-567. DOI: 10.1302/2058-5241.5.200003.

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全髋关节置换术后股骨假体周围骨折:目前的概念和临床结果。
术后股骨假体周围骨折(PFF)发病率的上升给临床和经济带来了沉重的负担。为了指导预防策略,需要详细了解风险因素。不同的股干有其独特的特点,治疗策略必须量身定制。对于固定良好的椎柄周围的pff的治疗还缺乏共识,但是对于不稳定的骨折模式和抛光锥形滑动椎柄周围的骨折,翻修手术可能提供更可预测的结果。未来的研究应集中在种植体相关的危险因素、并发代谢性骨病的治疗和大型内假体的使用上。引用本文:EFORT Open Rev 2020;5:558-567。2058 - 5241.5.200003 DOI: 10.1302 /。
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来源期刊
Efort Open Reviews
Efort Open Reviews Medicine-Orthopedics and Sports Medicine
CiteScore
6.60
自引率
2.90%
发文量
101
审稿时长
13 weeks
期刊介绍: EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity. This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances. One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress. EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.
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