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Fractures périprothétiques

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Orthopédie-traumatologie de la personne âgée fragile

Part of the book series: Approche pratique en orthopédie - traumatologie ((APPRPRAT))

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Résumé

Les fractures périprothétiques sont classiquement réputées rares. La réelle incidence de ces fractures est imprécise et le recours aux registres de prothèses est particulièrement utile. Le registre suédois des prothèses de hanche rapporte la fracture isolée comme cause de reprise chirurgicale de la prothèse dans 5 % des cas sur 14 000 prothèses. Dans son registre de 30 000 prothèses, la Mayo Clinic, sur une période de 30 ans trouve 4,1 % de fractures périprothétiques de hanche. De ces résultats, Lindahl et al. estiment l’incidence entre 1 et 2 % pour les fractures périprothétiques de hanche, de loin les plus fréquentes [1]. Si l’on retient la fourchette haute de 2 % pour l’ensemble des fractures périprothétiques, cela correspond à l’incidence des fractures du col du fémur. L’incidence des fractures périprothétiques de genou, intéressant l’extrémité distale du fémur, varie de 0,3 % à 2,5 %; Felix rapporte 0,6 % de fractures tibiales sur la série de 17 727 prothèses de genou réalisée en 25 ans à la Mayo Clinic [2].

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Authors and Affiliations

  1. Service de Chirurgie Orthopédique et Traumatologique, Pôle Urgences et Aval — Hôpitaux Universitaires Est Parisien-Saint Antoine 184, rue du Faubourg Saint Antoine, 75571, Paris cedex, France

    J.-M. Féron

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Correspondence to J.-M. Féron .

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Sylvain Terver Frédéric Martins-Condé Bernard Leblanc

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Féron, JM. (2013). Fractures périprothétiques. In: Terver, S., Martins-Condé, F., Leblanc, B. (eds) Orthopédie-traumatologie de la personne âgée fragile. Approche pratique en orthopédie - traumatologie. Springer, Paris. https://doi.org/10.1007/978-2-8178-0377-7_28

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  • DOI: https://doi.org/10.1007/978-2-8178-0377-7_28

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0376-0

  • Online ISBN: 978-2-8178-0377-7

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