【专题文献】之人工髋关节置换——下肢假体周(4)

【专题文献】之人工髋关节置换——下肢假体周围骨折的处理

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Revision arthroplasty and the management of periprosthetic fractures is a sub-specialty in its own right. It is important that the management of these patients is at least discussed with and ideally managed by surgeons who have experience in the field.

Assessment of a periprosthetic fracture should be standardised. The patient should be investigated biochemically and haematologically to assess their fitness for surgery.

Radiologically, it is of paramount importance to obtain good quality radiographs which should be assessed carefully, comparing them with previous X-Rays. CT scanning may be useful, provided there is adequate suppression of artefact from the implant.

临床评估

关节翻修术和假体周围骨折的处理，都有各自的亚专业。处理这些病人时，由那些在此领域有经验的外科医生处理或至少和他们讨论，这是