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Arthroscopic observation was useful to detect loosening of the femoral component of unicompartmental knee arthroplasty in a recurrent hemoarthrosis.

作者信息

Yamakado Kotaro, Arakawa Hitoshi, Hayashi Seigaku

机构信息

Department of Orthopaedics, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 9108561, Japan.

出版信息

Sports Med Arthrosc Rehabil Ther Technol. 2012 Feb 21;4:8. doi: 10.1186/1758-2555-4-8.

DOI:10.1186/1758-2555-4-8
PMID:22353541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3307435/
Abstract

A case of recurrent hemarthrosis of the knee after a mobile-bearing unicompartmental knee arthroplasty (UKA; Oxford UKA) is described. A 58-year-old man met with a road traffic accident 10 months after UKA. He developed anteromedial pain and hemarthrosis of the knee joint 1 month after the accident, which required multiple aspirations. Physical examination showed no instability. Plain radiograph revealed no signs of loosening. All laboratory data, including bleeding and coagulation times, were within normal limits. Diagnostic arthroscopy demonstrated loosening of the femoral component. Any intraarticular pathology other than nonspecific synovitis was ruled out. The loose femoral component and polyethylene meniscal bearing were revised. Since then, hemarthrosis has not recurred.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9152/3307435/d4d5d68cd24d/1758-2555-4-8-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9152/3307435/d4d5d68cd24d/1758-2555-4-8-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9152/3307435/d4d5d68cd24d/1758-2555-4-8-1.jpg

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本文引用的文献

1
Loosening of the femoral component after unicompartmental knee replacement.单髁膝关节置换术后股骨部件松动
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2
Late spontaneous haemarthrosis: an unusual complication following an unicompartmental knee arthroplasty.晚期自发性关节积血：单髁膝关节置换术后一种不寻常的并发症。
Knee Surg Sports Traumatol Arthrosc. 2007 Jun;15(6):763-5. doi: 10.1007/s00167-006-0251-2. Epub 2006 Dec 23.
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前交叉韧带重建与牛津单髁膝关节置换联合手术
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J Arthroplasty. 2001 Jan;16(1):133-5. doi: 10.1054/arth.2001.9050.
9
The Oxford medial unicompartmental arthroplasty: a ten-year survival study.牛津内侧单髁关节置换术：一项为期十年的生存率研究。
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Arch Phys Med Rehabil. 1998 Mar;79(3):339-42. doi: 10.1016/s0003-9993(98)90017-x.