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| 假体周围骨折与骨质疏松 |
| Periprosthetic fracture and osteoporosis |
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| DOI：10.3969/j.issn.1006.7108.2019.11.032 |
| 中文关键词: 骨质疏松症 假体周围骨折 骨密度 假体松动 |
| 英文关键词:osteoporosis periprosthetic fracture bone mineral density implant loosening |
| 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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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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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