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Schaftwechsel bei der periprothetischen Fraktur

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Hüfte

Zusammenfassung

Die periprothetische Femurfraktur stellt mit steigender Inzidenz die dritthäufigste Ursache für eine Revision nach Hüft-TEP dar. In der Mehrzahl der Fälle kommt es durch die Fraktur zu einer Lockerung des Femurschaftes, was üblicherweise den Wechsel auf einen Revisionsschaft erfordert. Detailliert beschrieben und bebildert ist die operative Technik, insbesondere auch bei problematischer Knochenqualität (Vancouver B3), sowie verschiedene Zugangswege einschließlich der minimal invasiven Erweiterung des vorderen Hüftzuganges. Das postoperative Management, Ergebnisse, Komplikationsmöglichkeiten und ein Fallbeispiel runden das Kapitel ab.

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Literatur

  • Abdel MP, Cottino U, Mabry TM (2015) Management of periprosthetic femoral fractures following total hip arthroplasty: a review. Int Orthop 39(10):2005–2010

    Article  Google Scholar 

  • Babis GC, Sakellariou VI, O’Connor MI, Hanssen AD, Sim FH (2010) Proximal femoral allograft-prosthesis composites in revision hip replacement: a 12-year follow-up study. J Bone Joint Surg Br 92(3):349–355

    Article  CAS  Google Scholar 

  • Berry DJ (2003). Treatment of Vancouver B3 periprosthetic femur fractures with a fluted tapered stem. Clin Orthop Relat Res(417): 224–231.

    Google Scholar 

  • Buttaro MA, Farfalli G, Paredes Nunez M, Comba F, Piccaluga F (2007) Locking compression plate fixation of Vancouver type-B1 periprosthetic femoral fractures. J Bone Joint Surg Am 89(9):1964–1969

    Article  CAS  Google Scholar 

  • Corten K, Vanrykel F, Bellemans J, Frederix PR, Simon JP, Broos PL (2009) An algorithm for the surgical treatment of periprosthetic fractures of the femur around a well-fixed femoral component. J Bone Joint Surg Br 91(11):1424–1430

    Article  CAS  Google Scholar 

  • Grob K, Manestar M, Lang A, Ackland T, Gilbey H, Kuster MS (2015) Effects of ligation of lateral intermuscular septum perforating vessels on blood supply to the femur. Injury 46(12):2461–2467

    Article  CAS  Google Scholar 

  • Haddad FS, CP Duncan, DJ Berry, DG Lewallen, AE Gross, HP Chandler (2002) Periprosthetic femoral fractures around well-fixed implants: use of cortical onlay allografts with or without a plate. J Bone Joint Surg Am 84-A(6): 945–950.

    Google Scholar 

  • Haidar SG, Goodwin MI (2005) Dynamic compression plate fixation for post-operative fractures around the tip of a hip prosthesis. Injury 36(3):417–423

    Article  CAS  Google Scholar 

  • Harris B, Owen JR, Wayne JS, Jiranek WA (2010) Does femoral component loosening predispose to femoral fracture? An in vitro comparison of cemented hips. Clin Orthop Relat Res 468(2):497–503

    Google Scholar 

  • Lenz M, Perren SM, Richards RG, Mückley T, Hofmann GO, Gueorguiev B, Windolf M (2013) Biomechanical performance of different cable and wire cerclage configurations. Int Orthop 37(1):125–30. https://doi.org/10.1007/s00264-012-1702-7

  • Lindahl H, Garellick G, Regner H, Herberts P, Malchau H (2006) Three hundred and twenty-one periprosthetic femoral fractures. J Bone Joint Surg Am 88(6):1215–1222

    Article  Google Scholar 

  • Lindahl H, Malchau H, Oden A, Garellick G (2006) Risk factors for failure after treatment of a periprosthetic fracture of the femur. J Bone Joint Surg Br 88(1):26–30

    Article  CAS  Google Scholar 

  • Mertl P, Philippot R, Rosset P, Migaud H, Tabutin J, Van de Velde D (2011) Distal locking stem for revision femoral loosening and peri-prosthetic fractures. Int Orthop 35(2):275–282

    Article  Google Scholar 

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Correspondence to Peter Michael Prodinger .

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Prodinger, P., Harrasser, N., Eisenhart-Rothe, R. (2021). Schaftwechsel bei der periprothetischen Fraktur. In: Günther, KP., Schaser, KD. (eds) Hüfte. Meistertechniken in der operativen Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62085-4_12

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  • DOI: https://doi.org/10.1007/978-3-662-62085-4_12

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