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고관절 인공관절 수술 후 비구 삽입물 주위 골절의 치료 원칙

Principles for Management of Periprosthetic Acetabular Fractures after Hip Arthroplasty

대한골절학회지 2019년 32권 3호 p.148 ~ 156
박찬우, 오형근, 이우석, 박윤수, 임승재,
소속 상세정보
박찬우 ( Park Chan-Woo ) - 삼성서울병원 정형외과
오형근 ( Oh Hyoung-Keun ) - 인제대학교 일산백병원 정형외과
이우석 ( Lee Woo-Suk ) - 강남세브란스병원 정형외과
박윤수 ( Park Youn-Soo ) - 삼성서울병원 정형외과
임승재 ( Lim Seung-Jae ) - 삼성서울병원 정형외과

Abstract


Periprosthetic acetabular fracture (PAF) is an uncommon complication following hip arthroplasty. However, as the number of people needing hip prostheses continues to rise, the absolute number of PAF is expected to increase as well. These fractures may occur either intraoperatively or postoperatively. Postoperative fractures can be caused by traumatic events or by pathologic conditions related to periacetabular osteolysis. The management of PAF usually depends on the degree of displacement and the stability of the acetabular component. While most of non-displaced fractures can be managed nonoperatively by protected weight bearing, displaced fractures with unstable implants require surgical intervention, which is often technically challenging. This review summarized the latest findings on the epidemiology, the diagnosis, the classification, and the treatment of PAF.

키워드

Periprosthetic fractures; Acetabulum; Hip; Arthroplasty; Classification; Therapeutics

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