Koubaa S, Ksibi I, Lebib S, Tlili L, Ben Salah F Z, Dziri C, Zehi K, Zouari M
Service de médecine physique et réadapatation, institut national d'orthopédie Ksar Said, La Manouba 2091, Tunisie.
Ann Phys Rehabil Med. 2009 Sep-Oct;52(7-8):588-93. doi: 10.1016/j.rehab.2009.06.008. Epub 2009 Aug 20.
Patients with spinal cord injuries are prone to knee hydrarthrosis (also known as "water on the knee"), which can cause pain, functional impairment and the restriction of social activities. Total knee arthroplasty is a potentially appropriate treatment. Here, we report on a patient presenting partial T12 AIS grade C paraplegia who was able to walk with two forearm crutches, an ankle-foot orthosis on the right leg and a knee-ankle-foot orthosis on the left leg. Thirteen years after the spinal cord injury, the patient presented with septic arthritis of the right knee, complicated by recurrent hydrarthrosis during standing and walking. Arthroscopy revealed advanced osteoarthritis. Total knee arthroplasty was performed, with very good functional and social outcomes two and half years after surgery.
脊髓损伤患者容易出现膝关节积水（也称为“膝盖积水”），这可能导致疼痛、功能障碍和社交活动受限。全膝关节置换术是一种潜在的合适治疗方法。在此，我们报告一例部分T12 AIS C级截瘫患者，该患者能够使用双前臂拐杖行走，右腿佩戴踝足矫形器，左腿佩戴膝踝足矫形器。脊髓损伤13年后，该患者出现右膝化脓性关节炎，站立和行走时并发反复积水。关节镜检查显示为晚期骨关节炎。进行了全膝关节置换术，术后两年半功能和社交结果非常良好。
