首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Supracondylar nailing of periprosthetic fractures above total knee arthroplasties
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Supracondylar nailing of periprosthetic fractures above total knee arthroplasties

机译:全膝关节置换术后假体周围con上钉

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Supracondylar nailing was performed in 10 patients who sustained periprosthetic fractures above total knee arthroplasties. The fractures occurred in women with an average age of 67.4 years (range, 42–92 years). All fractures healed in a satisfactory alignment in an average duration of 13.2 weeks (range, 12–18 weeks). None of the fractures needed bone grafting. There were no cases of wound infections, nonunion or delayed union. All patients achieved satisfactory range of movement of the knee joint and preoperative functional status. Main complications included loosening of a distal screw in one patient and fracture above the short nail following a second injury in another patient. Use of a longer nail where possible and a condylar bolt for distal locking can easily avoid these complications. We conclude that supracondylar nailing, despite some limitations, is a satisfactory method of treatment for a majority of displaced periprosthetic fractures above well-fixed total knee arthroplasties.
机译:10上钉治疗了10例在全膝关节置换术后持续发生假体周围骨折的患者。骨折发生在女性中,平均年龄为67.4岁(范围42-92岁)。所有骨折均以平均13.2周(12-18周)的持续时间令人满意地愈合。骨折都不需要植骨。没有伤口感染,骨不连或延迟愈合的病例。所有患者均达到满意的膝关节活动范围和术前功能状态。主要并发症包括一名患者的远端螺钉松动和另一名患者的第二次受伤后短指甲上方的骨折。在可能的情况下使用更长的钉子和distal骨螺栓进行远端锁定可以轻松避免这些并发症。我们得出的结论是,尽管有一些局限性,但是ing上钉是治疗固定好的全膝关节置换术上方大部分移位的假体周围骨折的满意方法。

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