Crawford John R, Coleman Nigel
Department of Trauma and Orthopaedics, The Queen Elizabeth Hospital, Norfolk, UK.
J Arthroplasty. 2003 Aug;18(5):662-5. doi: 10.1016/s0883-5403(03)00209-2.
We present the case of a 75-year-old woman who, following a below-knee amputation, developed worsening osteoarthritis of her knee in the same limb. A total knee replacement was subsequently performed in the amputated limb. The patient successfully mobilized following the procedure and remained pain-free on review after 8 months. The Knee Society score improved from 53 to 85, and the function score increased from 0 to 40. Modifications to the standard technique of total knee arthroplasty used in this case and the postoperative rehabilitation methods are described. Total knee replacement should be considered as an alternative option to arthrodesis or above-knee amputation in a below-knee amputee with advanced osteoarthritis of the knee.
我们报告了一例75岁女性患者的病例，该患者在进行膝下截肢术后，同侧膝关节骨关节炎病情加重。随后对截肢肢体进行了全膝关节置换术。患者术后成功活动，8个月后复查时仍无疼痛。膝关节协会评分从53分提高到85分，功能评分从0分提高到40分。本文描述了该病例中全膝关节置换术标准技术的改良及术后康复方法。对于患有晚期膝关节骨关节炎的膝下截肢患者，全膝关节置换术应被视为关节融合术或膝上截肢术的替代选择。
