| 假体周围骨折与骨质疏松 |
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| 引用本文： | 施鸿飞? 林华 熊进. 假体周围骨折与骨质疏松[J]. 中国骨质疏松杂志, 2019, 0(11): 1659-1,663 |
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| 作者姓名： | 施鸿飞? 林华 熊进 |
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| 作者单位： | 南京大学医学院附属鼓楼医院，江苏 南京210008 |
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| 基金项目： | 国家自然科学基金项目（81401793，81572132）；江苏省“六大人才高峰”高层次人才项目（2016-wsw-060）；南京市医学科技发展资金（QRX17007） |
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| 摘 要： | 骨质疏松与假体周围骨折的发生密切相关。骨质疏松状态下假体周围骨折的预防需从改善局部骨量和预防跌倒入手。检测关节假体周围的骨密度可用于评估假体周围骨折的风险。在对骨质疏松状态下假体周围骨折进行手术治疗时，可使用骨移植替代材料来增加骨折部位固定的强度，也可使用改进型的内固定材料或翻修假体来提高手术的成功率。
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| 关 键 词： | 骨质疏松症；假体周围骨折；骨密度；假体松动 |
Periprosthetic fracture and osteoporosis |
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| SHI Hongfei,LIN Hu,XIONG Jin. Periprosthetic fracture and osteoporosis[J]. Chinese Journal of Osteoporosis, 2019, 0(11): 1659-1,663 |
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| Authors: | SHI Hongfei LIN Hu XIONG Jin |
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| Affiliation: | Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China |
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| Abstract: | Osteoporosis is closely related to the occurrence of periprosthetic fractures. The prevention of periprosthetic fracture in osteoporotic condition should start with improving local bone stock and preventing falls. Detection of bone mineral density around prosthesis can be used to evaluate the risk of periprosthetic fracture. During the surgical treatment of periprosthetic fractures in osteoporotic condition, bone graft substitutes can be used to increase the strength of fracture fixation. Modified implants or revision prostheses can be used to improve the success rate of surgery. |
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| Keywords: | osteoporosis periprosthetic fracture bone mineral density implant loosening |
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