Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, PA 19102, USA.
Clin Rheumatol. 2011 May;30(5):735-7. doi: 10.1007/s10067-011-1682-9. Epub 2011 Jan 18.
Systemic sclerosis (scleroderma) is a connective tissue disorder of unknown etiology. This rare, chronic, multisystem disorder encompasses a number of variations leading to focal and systemic classifications, which includes features such as skin thickening. The changes within the skin microstructure have led to numerous surgical complications. In a review of the orthopedic literature, we found no reports describing surgical outcomes or the success of skin closures in procedures related to the hip for patients with scleroderma. We present a case of a 74-year-old man with a history of scleroderma who underwent a bipolar hemiarthroplasty to repair a right transcervical femoral neck fracture. The risk factors associated with wound healing and effects of skin contractures in systemic sclerosis patients are reviewed.
系统性硬化症（硬皮病）是一种病因不明的结缔组织疾病。这种罕见的、慢性的、多系统疾病包括许多导致局灶性和系统性分类的变化，其中包括皮肤增厚等特征。皮肤微观结构的变化导致了许多手术并发症。在对骨科文献的回顾中，我们没有发现任何描述与髋关节相关手术结果或皮肤闭合成功的报告，这些手术涉及到患有硬皮病的患者。我们报告了一例 74 岁男性患者的病例，该患者患有硬皮病病史，接受了双极半髋关节成形术以修复右侧经颈股骨颈骨折。回顾了与系统性硬化症患者伤口愈合和皮肤挛缩相关的危险因素。
