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感染性膝关节置换术后应用外固定架行膝关节融合术

[Knee arthrodesis with external ring fixator after infected knee arthroplasty].

作者信息

Johannsen Hans Gad, Skov Ole, Weeth Ernst Rainer

机构信息

Knaeartrodese med ekstern ringfiksator efter inficeret knaealloplastik.

出版信息

Ugeskr Laeger. 2005 Aug 29;167(35):3295-6.

PMID:16138972
Abstract

INTRODUCTION

Infection following knee arthroplasty is a severe complication which may lead to arthrodesis or even amputation. We wanted to examine the results after arthrodesis of the knee using the Ilizarov ring fixator in eight patients.

MATERIALS AND METHODS

Eight patients (seven females, one male) who underwent knee arthrodesis with the Ilizarov external fixator were studied retrospectively. Their median age was 63 (51-84) years. The mean follow-up period after removal of the fixator was 10 months.

RESULTS

Six arthrodeses healed without further operation. One patient died before the end of follow-up. One patient had an above-knee amputation because of chronic infection. Associated complications were the complications/problems which are already well known.

DISCUSSION

The Ilizarov ring fixator is a reliable method for performing arthrodesis after removal of an infected total knee arthroplasty.

摘要

引言

膝关节置换术后感染是一种严重并发症,可能导致关节融合甚至截肢。我们想研究8例使用伊利扎罗夫环形固定器进行膝关节融合术后的结果。

材料与方法

回顾性研究8例使用伊利扎罗夫外固定器进行膝关节融合术的患者(7例女性,1例男性)。他们的年龄中位数为63岁(51 - 84岁)。拆除固定器后的平均随访期为10个月。

结果

6例关节融合未进行进一步手术即愈合。1例患者在随访结束前死亡。1例患者因慢性感染行膝上截肢术。相关并发症为已广为人知的并发症/问题。

讨论

伊利扎罗夫环形固定器是在去除感染的全膝关节置换术后进行关节融合的可靠方法。

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Ugeskr Laeger. 2005 Aug 29;167(35):3295-6.
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Arthrodesis of the knee after an infected arthroplasty using the Ilizarov method.采用伊里扎洛夫方法对感染性关节置换术后的膝关节进行关节融合术。
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引用本文的文献

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Knee Arthrodesis Outcomes After Infected Total Knee Arthroplasty and Failure of Two-stage Revision With an Antibiotic Cement Spacer.感染性全膝关节置换术后及抗生素骨水泥间隔物二期翻修失败后的膝关节融合术结果
J Am Acad Orthop Surg Glob Res Rev. 2018 Jan 3;2(1):e077. doi: 10.5435/JAAOSGlobal-D-17-00077. eCollection 2018 Jan.
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Salvage of infected total knee arthroplasty with Ilizarov external fixator.使用伊里扎洛夫外固定架挽救感染性全膝关节置换术
Indian J Orthop. 2011 Nov;45(6):541-7. doi: 10.4103/0019-5413.87127.
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Knee arthrodesis with the Ilizarov external fixator as treatment for septic failure of knee arthroplasty.
采用伊里扎洛夫外固定架进行膝关节融合术治疗膝关节置换术后感染性失败。
J Orthop Traumatol. 2010 Jun;11(2):81-8. doi: 10.1007/s10195-010-0089-8. Epub 2010 Apr 28.