Лечение перипротезных переломов бедренной кости после тотального эндопротезирования тазобедренного сустава. Обзор литературы
DOI:
https://doi.org/10.52889/1684-9280-2023-3-69-4-11Ключевые слова:
эндопротезирование, перипротезный перелом, бедренная кость, проксимальный отдел бедренной кости, тазобедренный сустав, остеосинтезАннотация
Перипротезные переломы бедренной кости являются серьезным проблемным осложнением после первичных и ревизионных эндопротезирований тазобедренного сустава. Эти переломы связаны с неблагоприятными исходами, высокой смертностью и часто неполным функциональным восстановлением.
Цель данной обзорной статьи заключалась в исследовании частоты и факторов, которые способствуют возникновению перипротезных переломов проксимального отдела бедренной кости (ППБК) после тотального эндопротезирования тазобедренного сустава (ТЭТС).
Для достижения цели был проведен всесторонний поиск медицинской литературы в базах данных MEDLINE и EMBASE для ознакомления с публикациями, связанными с ППБК, их частотой и факторами риска.
Исследование показало, что частота ППБК после первичного ТЭТС в целом ниже, чем после ревизионного, как для интраоперационных, так и для послеоперационных случаев ППБК. Частота интраоперационных переломов варьирует от 0,1% до 27,8%, а послеоперационных переломов от 0,07% до 18%. Остеопороз, ревматоидный артрит, хирургическая техника проведенного оперативного лечения, использование бесцементных ножек и ревизионная артропластика тазобедренного сустава являются предрасполагающими факторами для интраоперационных ППБК. В случае послеоперационных ППБК значимыми факторами риска являются пожилой возраст, женский пол, посттравматический остеоартроз, остеопороз и ревматоидный артрит, деформации проксимального отдела бедренной кости, предшествующие операции на пораженном тазобедренном суставе, тип имплантата (бесцементные ножки и пресс-формы).
Библиографические ссылки
Gullberg B., Johnell O., Kanis J.A. World-wide projections for hip fracture. Osteoporos Int, 1997: 7(5): 407-413.
Socci A.R., Casemyr N.E., Leslie M.P., Baumgaertner M.R. Implant options for the treatment of intertrochanteric
fractures of the hip. Bone Joint J. 2017; 99-B(1): 128-133.
Moreta J., Aguirre U., de Ugarte O.S., Jáuregui I., Martínez-De Los Mozos J.L. Functional and radiological outcome of
periprosthetic femoral fractures after hip arthroplasty. Injury, 2015; 46(2): 292-298.
Giaretta S., Momoli A., Porcelli G., Micheloni G.M. Diagnosis and management of periprosthetic femoral fractures after
hip arthroplasty. Injury, 2019; 50: S29-S33.
Everding J., Schliemann B., Raschke M.J. Periprothetische Frakturen: Grundlagen, Klassifikation und Therapieprinzipien.
Chirurg, 2020; 91: 794-803.
Francony F., Montbarbon E., Pailhé R., Rubens Duval B., Saragaglia D. Assessment of morbidity and mortality after
periprosthetic hip fracture. Influence of Vancouver stage in a retrospective single-centre study of 88 patients. Orthop Traumatol Surg Res. 2022; 108(1): 102985.
Haidukewych G.J., Langford J.R., Liporace F.A. Revision for periprosthetic fractures of the hip and knee. Instr Course
Lect, 2013; 62: 333–340.
Pritchett J.W. Fracture of the greater trochanter after hip re- placement. Clin Orthop Relat Res: 2001: 221–226.
Berend K.R., Lombardi A.V.Jr., Mallory T.H., et al. Cerclage wires or cables for the management of intraoperative fracture
associated with a cementless, tapered femo- ral prosthesis: results at 2 to 16 years. J Arthroplasty, 2004; 19: 17–21.
Van Houwelingen A.P., Duncan C.P. The pseudo A (LT) periprosthetic fracture: it's really a B2. Orthopedics? 2011; 34:
e479– e481.
Capello W.N., D'Antonio J.A., Naughton M. (2014) Periprosthetic fractures around a cementless hydroxyapatite-coated
implant: a new fracture pattern is described. Clin Orthop Relat Res 2014; 472: 604-610.
Socci A.R., Casemyr N.E., Leslie MP., Baumgaertner M.R. Implant options for the treatment of intertrochanteric
fractures of the hip: rationale, evidence, and recommendations. Bone Joint J. 2017; 99-B(1): 128-133.
Wang K., Kenanidis E., Miodownik M., Tsiridis E., Moazen M. Periprosthetic fracture fixation of the femur following
total hip arthroplasty: a review of biomechanical testing - Part II. Clin Biomech. 2018; 61: 144–162.
Schwarzkopf R., Oni J.K., Marwin S.E. Total hip arthroplasty periprosthetic femoral fractures: a review of classification
and current treatment. Bull Hosp Jt Dis. 2013; 71(1): 68–78.
Wähnert D., Schliemann B., Raschke M.J., Kösters C. [Treatment of periprosthetic fractures : new concepts in operative
treatment] Orthopä 2014; 43(4): 306–313.
Raschke M.J., Stange R., Kösters C. [Treatment of periprosthetic and peri-implant fractures: modern plate
osteosynthesis procedures] Unfallchirurg. 2012; 115(11): 1009–1021.
Wähnert D, Müller M, Tiedemann H, Märdian S, Raschke MJ, Kösters C. Periprosthetic fracture fixation in Vancouver B1
femoral shaft fractures: A biomechanical study comparing two plate systems. J Orthop Translat. 2020; 8; 24: 150-154.
McElfresh E.C., Coventry M.B. Femoral and pelvic fractures after total hip arthroplasty. J Bone Joint Surg Am, 1974;56: 483–492.
Jensen J.S., Barfod G., Hansen D., Larsen E., et al. Femoral shaft fracture after hip arthroplasty. Acta Orthop Scand
; 59: 9–13.
Scott R.D., Turner R.H., Leitzes S.M., Aufranc O.E. Femoral fractures in conjunction with total hip replacement. J Bone
Joint Surg Am, 1975; 57: 494–501.
Moazen M., Mak J.H., Etchels LW., Jin Z., et al. Periprosthetic femoral fracture–a biomechanical comparison between
Vancouver type B1 and B2 fixation methods. J Arthroplasty 2014; 29: 495–500.
Pike J., Davidson D., Garbuz D., Duncan C.P., et al. Principles of treatment for periprosthetic femoral shaft frac- tures
around well-fixed total hip arthroplasty. J Am Acad Orthop Surg, 2009; 17: 677–688.
Lindahl H., Malchau H., Oden A., Garellick G. Risk factors for failure after treatment of a periprosthetic fracture of
the femur. J Bone Joint Surg (Br), 2006; 88: 26–30.
Haidar S.G., Goodwin M.I. Dynamic compression plate fixa- tion for post-operative fractures around the tip of a hip
prosthesis. Injury, 2005; 36: 417–423.
Zhang J., Xu N., Yang Z., Niu W., et al. Bridged combined fixation system versus locking plate in the treatment of
patients with implant periprosthetic refracture following proximal femoral fracture surgery: A retrospective observational
study. Medicine (Baltimore). 2022; 101(48): e31538.
Haasper C., Enayatollahi M.A., Gehrke T. Treatment of Vancouver type B2 periprosthetic femoral fractures. Int Orthop. 2015;39(10): 1989-1993.
Garbuz D.S., Masri B.A., Duncan C.P. Periprosthetic fractures of the femur: principles of prevention and management.
Instr Course Lect, 1998; 47: 237–242.
Kato T., Otani T., Sugiyama H., Hayama T., et al. Cementless total hip arthroplasty in hip dysplasia with an extensively
porous-coated cylindrical stem modified for Asians: a 12-year follow-up study. J Arthroplasty. 2015; 30(6): 1014-1018.
Shen B., Huang Q., Yang J., Zhou Z.K., et al. Extensively coated non-modular stem used in two-stage revision for
infected total hip arthroplasty: mid-term to long-term follow- up. Orthop Surg, 2014; 6: 103–109.
Thomsen P.B., Jensen N.J., Kampmann J., Baek Hansen T. Revision hip arthroplasty with an extensively porous-coated
stem-excellent long-term results also in severe femoral bone stock loss. Hip International, 2013; 23(4): 352-358.
Abdel M.P., Lewallen D.G., Berry D.J. Periprosthetic femur fractures treated with modular fluted, tapered stems. Clin
Orthop Relat Res, 2014; 472: 599–603.
Van Houwelingen A.P., Duncan C.P., Masri B.A., Greidanus N.V., Garbuz D.S. High survival of modular tapered stems
for proximal femoral bone defects at 5 to 10 years followup. Clin Orthop Relat Res, 2013; 471: 454–462.
Amanatullah D.F., Howard J.L., Siman H., Trousdale R.T., et al. Revision total hip arthroplasty in patients with
extensive proximal femoral bone loss using a fluted tapered modu- lar femoral component. Bone Joint J, 2015; 97-B: 312–317.
Rodriguez J.A., Deshmukh A.J., Robinson J., Cornell C.N., et al. Reproducible fixation with a tapered, fluted, modular,
titanium stem in revision hip arthroplasty at 8–15 years follow-up. J Arthroplasty 2014; 29: 214–218.
Munro J.T., Garbuz D.S., Masri B.A., Duncan C.P. Tapered fluted titanium stems in the management of Vancouver B2
and B3 periprosthetic femoral fractures. Clin Orthop Relat Res, 2014; 472: 590–598.
Kale A.A., Della Valle C.J., Frankel V.H., Stuchin S.A., et al. Hip arthroplasty with a collared straight cobalt-chrome
femoral stem using second-generation cementing technique: a 10-year-average follow-up study. The Journal of Arthroplasty, 2000; 15(2): 187-193.
Davis C.M., Berry D.J., Harmsen W.S. Cemented revision of failed uncemented femoral components of total hip
arthroplasty. J Bone Joint Surg Am, 2003; 85-A: 1264–1269.
Schuh A., Werber S., Holzwarth U., Zeiler G. Cementless modular hip revision arthroplasty using the MRP Titan
Revision Stem: outcome of 79 hips after an average of 4 years' follow-up. Arch Orthop Trauma Surg, 2004; 124: 306–309.
Berry D.J. Total hip arthroplasty in patients with proximal femoral deformity. Clin Orthop Relat Res: 1999; 369:
–272.
Kwong L.M., Miller A.J., Lubinus P. A modular distal fixation option for proximal bone loss in revision total hip
arthroplasty: a 2- to 6-year follow-up study. J Arthroplasty, 2003; 18: 94–97.
McInnis D.P., Horne G., Devane P.A. Femoral revision with a fluted, tapered, modular stem seventy patients followed
for a mean of 3.9 years. J Arthroplasty, 2006; 21: 372–380.
Rodriguez J.A., Fada R., Murphy S.B., Rasquinha V.J., Ranawat C.S. Two-year to five-year follow-up of femoral defects
in fem- oral revision treated with the link MP modular stem. J Arthroplasty, 2009; 24: 751–758.
Schuh A., Werber S., Holzwarth U., Zeiler G. Cementless modular hip revision arthroplasty using the MRP Titan
Revision Stem: outcome of 79 hips after an average of 4 years' follow-up. Arch Orthop Trauma Surg, 2004; 124: 306–309.
Tamvakopoulos G.S., Servant C.T., Clark G., Ivory J.P. Medium-term follow-up series using a modular distal fixation
pros- thesis to address proximal femoral bone deficiency in revision total hip arthroplasty. A 5-to 9-year follow-up study. Hip Int, 2007; 17: 143–149.
Weiss R.J., Beckman M.O,. Enocson A., Schmalholz A., Stark A. Minimum 5-year follow-up of a cementless, modular,
ta- pered stem in hip revision arthroplasty. J Arthroplasty, 2011; 26: 16–23.
Wirtz D.C., Heller K.D., Holzwarth U., Siebert C., et al. A modular femoral implant for uncemented stem revision in
THR. Int Orthop, 2000; 24: 134–138.
Berry D.J. Treatment of Vancouver B3 periprosthetic femur fractures with a fluted tapered stem. Clin Orthop Relat
Res, 2003; 417: 224– 231.
Stoffel K., Blauth M., Joeris A., Blumenthal A., Rometsch E. Fracture fixation versus revision arthroplasty in Vancouver
type B2 and B3 periprosthetic femoral fractures: a systematic review. Archives of orthopaedic and trauma surgery, 2020; 140: 1381-1394.
Wimmer M.D., Randau T.M., Deml M.C., Ascherl R., et al. Impaction grafting in the femur in cementless modular
revision total hip arthroplasty: a descriptive outcome analysis of 243 cases with the MRP-TITAN re- vision implant. BMC
Musculoskelet Disord, 2013; 14: 19.
Ten Have B.L., Brouwer R.W., van Biezen F.C., Verhaar J.A. Femoral revision surgery with impaction bone grafting: 31
hips followed prospectively for ten to 15 years. J Bone Joint Surg (Br), 2012; 94: 615–618.
Oshima S., Yasunaga Y., Yamasaki T., Yoshida T., et al. Midterm results of femoral impaction bone grafting with an
allograft combined with hydroxyapatite in revision total hip arthroplasty. J Arthroplasty, 2012; 27: 470–476.
Mayle R.E. Jr., Paprosky W.G. Massive bone loss: allograft- prosthetic composites and beyond. J Bone Joint Surg (Br),
; 94: 6–64.
Min L., Peng J., Duan H., Zhang W., et al. Uncemented allograft-prosthetic composite reconstruction of the proximal
femur. Indian J Orthop, 2014; 48: 289–295.
Moazen M., Mak J.H., Etchels L.W., Jin Z., et al. Periprosthetic femoral fracture-a biomechanical comparison between
Vancouver type B1 and B2 fixation methods. J Arthroplasty. 2014; 29(3): 495-500.
Howie D.W., McGee M.A., Callary S.A., Carbone A., et al. A preclinical study of stem subsi- dence and graft incorporation
after femoral impaction grafting using porous hydroxyapatite as a bone graft extender. J Arthroplasty, 2011; 26: 1050–1056.
Hartman C.W., Garvin K.L. Femoral fixation in revision total hip arthroplasty. J Bone Joint Surg Am, 2011; 93: 2311–
Babis G., Sakellariou V., O’Connor M., Hanssen A., Sim F. Proximal femoral allograft-prosthesis composites in revision
hip replacement: a 12-year follow-up study. J Bone Joint Surg Br, 2010; 92: 349–355.
Parvizi J., Sim F.H. Proximal femoral replacements with megaprostheses. Clin Orthop Relat Res, 2004; 420: 169–175.
Blackely H., Gross A. Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip.
A nine to fifteen-year follow-up. J Bone Joint Surg Br, 2002; 84: 133.
Parvizi J., Tarity T.D., Slenker N., Wade F., et al. Proximal femoral replacement in patients with non- neoplastic
conditions. J Bone Joint Surg, 2007; 89: 1036–1043.
Stoffel K., Horn T., Zagra L., Mueller M., et al. Periprosthetic fractures of the proximal femur: beyond the Vancouver
classification. EFORT Open Rev. 2020; 5(7): 449-456.
Corten K., Vanrykel F., Bellemans J., Frederix P.R., et al. An algorithm for the surgical treatment of periprosthetic
fractures of the femur around a well-fixed femoral component. J Bone Joint Surg (Br), 2009; 91: 1424–1430.
Learmonth I.D. The management of periprosthetic fractures around the femoral stem. J Bone Joint Surg (Br), 2004;
: 13–19.
Min B.W., Lee K.J., Cho C.H., et al. High Failure Rates of Locking Compression Plate Osteosynthesis with Transverse
Fracture around a Well-Fixed Stem Tip for Periprosthetic Femoral Fracture. J Clin Med. 2020; 9(11): 3758.
Загрузки
Опубликован
Выпуск
Раздел
Лицензия
Это произведение доступно по лицензии Creative Commons «Attribution» («Атрибуция») 4.0 Всемирная.
