全膝关节置换术后假体周围股骨骨折的诊疗现状

Current diagnosis and treatment for periprosthetic fracture secondary to total knee arthroplasty

全膝关节置换术(total knee arthroplasty, TKA)是目前治疗退行性膝关节疼痛和功能障碍的有效方法。随着经济的发展,手术技术的成熟和生活质量的提高,膝关节置换手术量逐年增加。全膝关节置换术后假体周围骨折是一种少见且严重的并发症,治疗难度大,需要临床医生具备良好的理论基础和手术技术。本文对TKA术后假体周围股骨骨折的发病率、危险因素、分型及治疗进行综述,为临床工作提供参考。

Total knee arthroplasty(TKA) is an effective method to treat degenerative joint pain and dysfunction. With the development of economy, the maturity of surgical technique and the improvement of quality of life, the number of knee replacement surgeries increases year by year. Periprosthetic fracture after TKA is a rare and serious complication, which is difficult to treat and requires clinicians to have good theoretical basis and surgical technique. In this study, the incidence, risk factors, classification and treatment of femoral periprosthetic fracture after TKA were reviewed to provide references for clinical work.