. . "Lu\u0148\u00E1\u010Dek, Libor" . . . "\u010Cetnost periprotetick\u00FDch zlomenin spojen\u00FDch s n\u00E1hradou kolenn\u00EDho kloubu se zvy\u0161uje. \u010Cetnost 1,3 % v\u0161ech a \u010Dast\u011Bji postihuj\u00EDc\u00ED \u017Eeny (4 z 5 pacient\u016F). B\u011B\u017En\u00E9 jsou zlomeniny dist\u00E1ln\u00EDho femuru, zat\u00EDmco zlomeniny proxim\u00E1ln\u00ED tibie jsou vz\u00E1cn\u00E9. Kruci\u00E1ln\u00ED je odli\u0161en\u00ED zlomenin zasahuj\u00EDc\u00EDch pouze oblast metaf\u00FDzy nad femor\u00E1ln\u00ED komponentou prot\u00E9zy, kter\u00E1 z\u016Fst\u00E1v\u00E1 stabiln\u011B fixov\u00E1na, od zlomenin zasahuj\u00EDc\u00EDch a\u017E k prot\u00E9ze s jist\u00FDm nebo nejist\u00FDm stupn\u011Bm uvoln\u011Bn\u00ED komponenty. Suprakondylick\u00E9 periprotetick\u00E9 zlomeniny femuru jsou t\u00E9m\u011B\u0159 v\u017Edy l\u00E9\u010Deny opera\u010Dn\u011B s vyu\u017Eit\u00EDm metod osteosynt\u00E9zy kondyl\u00E1rn\u00ED dlahou nebo DCS nebo kr\u00E1tk\u00E9ho retrogr\u00E1dn\u00EDho h\u0159ebu. Vyu\u017Eit\u00ED LCP dlah s \u00FAhlov\u011B stabiln\u00EDmi \u0161rouby nab\u00EDz\u00ED dobr\u00E9 v\u00FDsledky. Tato retrospektivn\u00ED studie p\u0159edkl\u00E1d\u00E1 na\u0161e prvn\u00ED zku\u0161enosti s LCP dlahou v l\u00E9\u010Db\u011B suprakondylick\u00FDch periprotetick\u00FDch zlomenin po n\u00E1hrad\u011B kolenn\u00EDho kloubu" . "76" . "000273238000004" . "Acta Chirurgiae Orthopaedicae et Traumatologiae \u010Cechoslovaca" . "RIV/00064173:_____/09:00002035!RIV13-MZ0-00064173" . . "Osteosynthesis for periprosthetic supracondylar fracture above a total knee arthroplasty using a locking compression plate"@en . "CZ - \u010Cesk\u00E1 republika" . . . "\u010Cetnost periprotetick\u00FDch zlomenin spojen\u00FDch s n\u00E1hradou kolenn\u00EDho kloubu se zvy\u0161uje. \u010Cetnost 1,3 % v\u0161ech a \u010Dast\u011Bji postihuj\u00EDc\u00ED \u017Eeny (4 z 5 pacient\u016F). B\u011B\u017En\u00E9 jsou zlomeniny dist\u00E1ln\u00EDho femuru, zat\u00EDmco zlomeniny proxim\u00E1ln\u00ED tibie jsou vz\u00E1cn\u00E9. Kruci\u00E1ln\u00ED je odli\u0161en\u00ED zlomenin zasahuj\u00EDc\u00EDch pouze oblast metaf\u00FDzy nad femor\u00E1ln\u00ED komponentou prot\u00E9zy, kter\u00E1 z\u016Fst\u00E1v\u00E1 stabiln\u011B fixov\u00E1na, od zlomenin zasahuj\u00EDc\u00EDch a\u017E k prot\u00E9ze s jist\u00FDm nebo nejist\u00FDm stupn\u011Bm uvoln\u011Bn\u00ED komponenty. Suprakondylick\u00E9 periprotetick\u00E9 zlomeniny femuru jsou t\u00E9m\u011B\u0159 v\u017Edy l\u00E9\u010Deny opera\u010Dn\u011B s vyu\u017Eit\u00EDm metod osteosynt\u00E9zy kondyl\u00E1rn\u00ED dlahou nebo DCS nebo kr\u00E1tk\u00E9ho retrogr\u00E1dn\u00EDho h\u0159ebu. Vyu\u017Eit\u00ED LCP dlah s \u00FAhlov\u011B stabiln\u00EDmi \u0161rouby nab\u00EDz\u00ED dobr\u00E9 v\u00FDsledky. Tato retrospektivn\u00ED studie p\u0159edkl\u00E1d\u00E1 na\u0161e prvn\u00ED zku\u0161enosti s LCP dlahou v l\u00E9\u010Db\u011B suprakondylick\u00FDch periprotetick\u00FDch zlomenin po n\u00E1hrad\u011B kolenn\u00EDho kloubu"@cs . "Osteosynthesis for periprosthetic supracondylar fracture above a total knee arthroplasty using a locking compression plate"@en . . . . "Osteosynt\u00E9za periprotetick\u00E9 suprakondylick\u00E9 zlomeniny kolenn\u00EDho kloubu s pou\u017Eit\u00EDm LCP dlahy" . "3"^^ . "Osteosynt\u00E9za periprotetick\u00E9 suprakondylick\u00E9 zlomeniny kolenn\u00EDho kloubu s pou\u017Eit\u00EDm LCP dlahy" . "4"^^ . . . "The frequency of periprosthetic fractures related to total knee arthroplasty is increasing, with a prevalence of 1.3 % on the average and with women being affected more often (4 out of 5 patients). Fractures of the distal femur are common, while tibial fractures are rare. Crucial for treatment is to distinguish fractures of the metaphysis above the femoral component, which remains firmly fixed, from those involving the knee joint replacement and component loosening. Supracondylar periprosthetic fractures are almost always managed surgically, using methods of osteosynthesis with an angle condylar or DCS plate, or a short retrograde- inserted supracondylar intramedullary nail. The recent use of implants such as LCPs with angle-stable screws has offered good prospects. This retrospective study presents our first experience with an LCP for treatment of supracondylar periprosthetic fractures of the knee joint"@en . . "6"^^ . "RIV/00064173:_____/09:00002035" . "V" . . "[65833C759AA8]" . "6" . "locking compression plate; osteosynthesis; total knee arthroplasty; periprosthetic fracture"@en . . "Osteosynt\u00E9za periprotetick\u00E9 suprakondylick\u00E9 zlomeniny kolenn\u00EDho kloubu s pou\u017Eit\u00EDm LCP dlahy"@cs . "Dou\u0161a, Pavel" . . "0001-5415" . . "332260" . "Krbec, Martin" . "Osteosynt\u00E9za periprotetick\u00E9 suprakondylick\u00E9 zlomeniny kolenn\u00EDho kloubu s pou\u017Eit\u00EDm LCP dlahy"@cs .