股骨假体周围骨折-英文课件教学文案.ppt

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,股骨假体周围骨折-英文课件,Goals of Treatment,fracture union,anatomic alignment,return to functional status,early mobilization,stable prosthesis at the,end of fracture healing,reasonable survivorship,of the prosthesis,Femoral Periprostheic Fractures,Epidemiology,incidence,0.564.2%,Uncommon but Unique Challenges !,Risk Factors,Old age,Female,Trauma,Index diagnosis,Revision,Implants,Technique,Loose implant(aseptic),Rheumatoid,Osteopenia,Osteolysis,Vancouver,Type A,Fractures in the trochanteric region,AG:fractures of the greater trochanter,AL:fractures of the lesser trochanter,Classification,Type B,Stem region with the stem firmly in place,With loose stem,With bone defect present,Around or just distal to stem,Type C,Well below stem,B1,Good bone no implant loosening,B2,Good bone with implant loosening,B3,Poor bone or bone defect,implant loosening,Unified Classification System,UCS,Unified Classification System,Treatment,Pre-op Planning,rule out infection,implant,fixation,ESR,CRP,revision,tumor prosthesis,IM nail,LCP,Cable,Biological plate,Other,get help,escape plan,Surgical solutions,Internal fixation,Revision of prosthetic components,plating,nailing,conservation,trochanter plate,cerclage wires,Stable,UCS.3,A,(,Type A),LCP,cables,biological plate,79 yrs M,LCP with titanium cable system,UCS.3 B1,(,Type B1),Dr.F.LIU,Locking-compression plates(LCP)locking-head screw(LHS),a LCP DF(for distal femur),b LCP PT(for proximal tibia),c LHS(monocortical short)for placement in the,vicinity of a prosthetic stem,Variable-angle locking compression plate(VA-LCP)and locking head screw(LHS),a VA-LCP(for distal femur),b Angulations of possible screw directions,c Design of a VA-LHS screw head,LCP with Locking Attachment Plate,SHI RH,77yrs,F,1277045,Classification?,UCS.3 B1,(Vancouver,type B1),Dr.F.LIU,LCP with Locking Attachment Plate,Surgical solution,Dr.F.LIU,Dr.F.LIU,Dr.F.LIU,Dr.F.LIU,JI DC,62yrs,M,1341747,UCS.3 B1,(Vancouver,type B1),LCP with titanium cable system,Dr.F.LIU,Dr.F.LIU,UCS.3 B2,(,Type B2),59 yrs,M,Dr.F.LIU,revision,LCP,long stem with cable system,tumor prosthetic,with titanium cables system,Surgical solution,UCS.3 B2,(,Type B2),JI MF,62yrs,F,1277986,Dr.F.LIU,Dr.F.LIU,Dr.F.LIU,LISS,LCP,Cables,UCS.3 C,(,Type C),Dr.F.LIU,Surgical solution,Dr.F.LIU,Dr.F.LIU,Dr.F.LIU,Dr.F.LIU,Summary,Uncommon but challenging,Two hats better,LCP with titanium cable system,/Locking Attachment Plate,recommended,Thank you for your attention!,此课件下载可自行编辑修改，仅供参考！感谢您的支持，我们努力做得更好！谢谢,