中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
4期
645-650
,共6页
苗绍刚%鲁宁%杨阳%陈磊杰%Bassam A.Masrie
苗紹剛%魯寧%楊暘%陳磊傑%Bassam A.Masrie
묘소강%로저%양양%진뢰걸%Bassam A.Masrie
植入物%骨植入物%骨与关节综述%全髋关节置换%股骨假体周围骨折%危险因素%预防%Vancouver分型%假体松动%骨缺损
植入物%骨植入物%骨與關節綜述%全髖關節置換%股骨假體週圍骨摺%危險因素%預防%Vancouver分型%假體鬆動%骨缺損
식입물%골식입물%골여관절종술%전관관절치환%고골가체주위골절%위험인소%예방%Vancouver분형%가체송동%골결손
arthroplasty,replacement,hip%hip prosthetics%femur%periprosthetic femoral fractures%osteolysis
背景：随着全髋关节置换及翻修患者的不断增加，股骨假体周围骨折的发生率及复杂性随之增加。
<br> 目的：回顾有关股骨假体周围骨折的研究文献，探讨其危险因素、预防措施、Vancouver分型和治疗方案。
<br> 方法：以电子检索方式对CNKI 数据库、FMJS数据库及PubMed数据库1994年9月至2012年6月收录的有关全髋关节置换后股骨假体周围骨折的研究文献进行分析，检索词为“全髋关节置换，股骨假体周围骨折”和“total hip arthroplasty，periprosthetic femoral fractures”，排除报道时间较早的研究或重复研究。
<br> 结果与结论：随着全髋关节置换人数的增加，置换后股骨假体周围骨折发生率正在增加。目前公认的危险因素包括年龄、性别、创伤、固定方式、假体松动、翻修、骨溶解、置换前疾病、骨质疏松、假体类型和置换技术等。熟悉及理解股骨假体周围骨折的危险因素对其预防及治疗至关重要。Vancouver 分型涉及股骨假体周围骨折位置及稳定性、假体松动情况、股骨近端骨量等，是临床上常用的分型方法。临床治疗应根据骨折类型、是否有假体松及骨缺损等采用不同的方法。
揹景：隨著全髖關節置換及翻脩患者的不斷增加，股骨假體週圍骨摺的髮生率及複雜性隨之增加。
<br> 目的：迴顧有關股骨假體週圍骨摺的研究文獻，探討其危險因素、預防措施、Vancouver分型和治療方案。
<br> 方法：以電子檢索方式對CNKI 數據庫、FMJS數據庫及PubMed數據庫1994年9月至2012年6月收錄的有關全髖關節置換後股骨假體週圍骨摺的研究文獻進行分析，檢索詞為“全髖關節置換，股骨假體週圍骨摺”和“total hip arthroplasty，periprosthetic femoral fractures”，排除報道時間較早的研究或重複研究。
<br> 結果與結論：隨著全髖關節置換人數的增加，置換後股骨假體週圍骨摺髮生率正在增加。目前公認的危險因素包括年齡、性彆、創傷、固定方式、假體鬆動、翻脩、骨溶解、置換前疾病、骨質疏鬆、假體類型和置換技術等。熟悉及理解股骨假體週圍骨摺的危險因素對其預防及治療至關重要。Vancouver 分型涉及股骨假體週圍骨摺位置及穩定性、假體鬆動情況、股骨近耑骨量等，是臨床上常用的分型方法。臨床治療應根據骨摺類型、是否有假體鬆及骨缺損等採用不同的方法。
배경：수착전관관절치환급번수환자적불단증가，고골가체주위골절적발생솔급복잡성수지증가。
<br> 목적：회고유관고골가체주위골절적연구문헌，탐토기위험인소、예방조시、Vancouver분형화치료방안。
<br> 방법：이전자검색방식대CNKI 수거고、FMJS수거고급PubMed수거고1994년9월지2012년6월수록적유관전관관절치환후고골가체주위골절적연구문헌진행분석，검색사위“전관관절치환，고골가체주위골절”화“total hip arthroplasty，periprosthetic femoral fractures”，배제보도시간교조적연구혹중복연구。
<br> 결과여결론：수착전관관절치환인수적증가，치환후고골가체주위골절발생솔정재증가。목전공인적위험인소포괄년령、성별、창상、고정방식、가체송동、번수、골용해、치환전질병、골질소송、가체류형화치환기술등。숙실급리해고골가체주위골절적위험인소대기예방급치료지관중요。Vancouver 분형섭급고골가체주위골절위치급은정성、가체송동정황、고골근단골량등，시림상상상용적분형방법。림상치료응근거골절류형、시부유가체송급골결손등채용불동적방법。
BACKGROUND: As the patients undergoing total hip replacements and revision increase, the incidence and complexity of postoperative periprosthetic femoral fractures are accordingly increasing and its treatment becomes a chal enge.
<br> OBJECTIVE: To review the literatures related to periprosthetic femoral fractures after total hip arthroplasty, to explore related risk factors, Vancouver classification, and treatment.
<br> METHODS: A computer-based online search was performed in the Chinese National Knowledge Internet (CNKI) database, FMJS database and PubMed database from September 1994 to June 2012 for the literatures related to periprosthetic femoral fractures after total hip arthroplasty. The key words were“total hip arthroplasty, periprosthetic femoral fractures”in Chinese and English. The articles published earlier and repetitive researches were excluded.
<br> RESULTS AND CONCLUSION:Postoperative periprosthetic femoral fractures after total hip arthroplasty are increasing in frequency with the increasing numbers of total hip arthroplasty patients. The risk factors mainly include aging and gender of the patients, trauma, fixation pattern, prosthetic loosening, revision, osteolysis, diseases before replacement, osteoporosis, type of prosthesis, and surgical technique. It is very important to understand the risk factors involved for the prevention and treatment of periprosthetic femoral fractures. Vancouver classification of periprosthetic femoral fractures is based on the site and stability of fractures, prosthetic loosening, and proximal bone mass. This classification is very common in clinical practice. Clinical treatment should consider the type of fracture, loosening of the prosthesis and bone loss of proximal femur.
