Stellenwert der Revisions- und Tumorendoprothetik bei der Versorgung periprothetischer Frakturen der unteren Extremität
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  • 作者:P. M. Prodinger ; N. Harrasser ; C. Suren ; F. Pohlig ; H. Mühlhofer…
  • 关键词:Periprosthetic fracture ; Hip ; Knee ; Augmentation combinations ; Mega ; implants
  • 刊名:Der Unfallchirurg
  • 出版年:2016
  • 出版时间:April 2016
  • 年:2016
  • 卷:119
  • 期:4
  • 页码:295-306
  • 全文大小:1,659 KB
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  • 作者单位:P. M. Prodinger (1)
    N. Harrasser (1)
    C. Suren (1)
    F. Pohlig (1)
    H. Mühlhofer (1)
    J. Schauwecker (1)
    Prof. Dr. R. von Eisenhart-Rothe (1)

    1. Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Traumatic Surgery
    Medicine/Public Health, general
    Sports Medicine
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1433-044X
文摘
Periprosthetic fractures of hip and knee prostheses are gaining clinical significance due to the increasing numbers of of primary arthroplasties. Additionally, these fractures are often associated with poor bone quality or present in patients after multiple revision procedures and concomitant excessive bone defects precluding those patients to be adequately treated by conventional osteosynthesis. Revision implants provide a wide range of options for the treatment of these fractures in order to achieve good clinical results. In the acetabular region cavitary defects associated with periprosthetic fractures can be treated by the use of megacups. Extensive segmental defects and pelvic discontinuity necessitate the use of cups with additional iliac support or even customized implants. Proximal femoral fractures can usually be fixed with modular stems and diaphyseal anchorage. Periprosthetic knee joint fractures can be treated with revision implants with modular sleeves or augment-combinations allowing sufficient bridging of bony defects. Functional reconstruction or refixation of the extensor mechanism is of crucial importance.

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