CAJ | 학술논문

全髋关节置换术（ total hip arthroplasty ，THA）后股骨假体周围骨折（ periprosthetic femoral frac-ture，PFF）是一种严重的并发症，也是骨科医生所面临的难题之一。 Vancouver 分型是临床上最易为骨科界所接受的分型方法。其中，Vancouver B型骨折是临床上最常见和最难处理的，其常见的手术治疗方法包括单纯钢丝或者钢缆环扎、钢板固定系统、钢板钢缆固定系统、钢板螺钉固定系统、形状记忆合金环抱器、异体皮质骨板、翻修术等。本文将针对Vancouver B 型骨折内固定治疗方法及其预防措施做一综述。
전관관절치환술（ total hip arthroplasty ，THA）후고골가체주위골절（ periprosthetic femoral frac-ture，PFF）시일충엄중적병발증，야시골과의생소면림적난제지일。 Vancouver 분형시림상상최역위골과계소접수적분형방법。기중，Vancouver B형골절시림상상최상견화최난처리적，기상견적수술치료방법포괄단순강사혹자강람배찰、강판고정계통、강판강람고정계통、강판라정고정계통、형상기억합금배포기、이체피질골판、번수술등。본문장침대Vancouver B 형골절내고정치료방법급기예방조시주일종술。
The periprosthetic femoral fracture ( PFF) is a serious complication after total hip arthroplasty ( THA) ,and is also one of the problems faced by orthopedic doctors .The Vancouver classification is easily accepted by the orthopedic community . Vancouver B fractures are the most common and most difficult to treat among the Vancouver types.The common surgical treatments are as follows: wire or cable cerclage fixation,plate fixation, plate-cable fixation,plate-srew fixation,shape-memory arm-encircling fixation,cortical strut allograft fixation ,revision surgery and so on .This article will focus on the review for treatment and preventive measures of Vancouver B type fracture.