[Peri-prosthesis fractures in total hip endoprostheses].

摘要: Periprosthetic fractures after total hip arthroplasty (THA) were found in 0.77% (33 4280 THA). At the time of fracture prosthesis was loose about one-third cases. In most cases (63%), located at distal end prosthesis. Fractures this location transverse or short oblique; those situated more distally spiral. Whereas along shaft long oblique. Open reduction internal fixation performed immediately for all fractures. Thirty patients followed an average 2.7 years (1 year-11 years) fracture. 28 stabilization obtained using a plate. 2 changed same as plate stabilization. 1 case lossened converted to Girdlestone. A primary change without osteosynthesis One year operation healed. We recommend large DC tip (spiral fractures). stable THA, we stabilized level itself, wave with corticocancellous bone graft. loosened but good stock are treated by implantation long-stem If is poor, be Only healed do revise