Abe Shuji, Kohyama Kozo, Yokoyama Hironobu, Matsuda Shigeru, Terashima Yasuhiro, Nakagawa Natsuko, Saegusa Yasuhiro, Fujioka Hiroyuki
Department of Orthopedic Surgery, Kohnan Kakogawa Hospital, 1545-1 Saijo, Kanno-cho, Kakogawa, Hyogo, 675-8545, Japan.
Mod Rheumatol. 2008;18(5):499-506. doi: 10.1007/s10165-008-0079-3. Epub 2008 May 30.
The treatment of patients with severe flexion contracture of the rheumatoid knee, deprived of ambulation for long periods of time, is challenging. Based on three cases, we indicate the potential risks of posterior dislocation of the knee after total knee arthroplasty. In this pathological condition, surgeons must carefully select the type of implant in order to avoid this serious complication. We also emphasize the importance of working on disuse muscle atrophy of trunk (back, abdominal) and lower limbs, both of which play an integral role in ambulation. The personality of each rheumatoid patient should be carefully considered when considering surgical and rehabilitation options.
对于长期无法行走的类风湿性膝关节严重屈曲挛缩患者的治疗具有挑战性。基于三个病例，我们指出了全膝关节置换术后膝关节后脱位的潜在风险。在这种病理状况下，外科医生必须仔细选择植入物类型以避免这种严重并发症。我们还强调了针对躯干（背部、腹部）和下肢废用性肌肉萎缩进行治疗的重要性，这两者在行走中都起着不可或缺的作用。在考虑手术和康复方案时，应仔细考虑每位类风湿患者的个性特点。
