一名16岁男性复杂系列并行病变的多模态治疗，最终导致双侧髋关节置换手术：病例报告。
Multimodality treatment of a complex series of parallel pathologies in a 16-year-old male that ultimately leads to bilateral hip arthroplasty surgery: A case report.
作者信息
Cullen Emmet, Quinlan John, Fogarty Esmond, Keogh Peter
机构信息
Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland.
出版信息
Int J Surg Case Rep. 2012;3(8):372-4. doi: 10.1016/j.ijscr.2012.04.015. Epub 2012 May 3.
INTRODUCTION
Femoral head osteonecrosis is associated with significant sequelae for the patient in the long-term. A combination of factors are thought to contribute to the pathophysiology behind this debilitating disease process.
PRESENTATION OF CASE
We report on a 16-year-old adolescent male requiring staged bilateral hybrid hip arthroplasty within 3years of diagnosis of acute lymphoblastic leukaemia that ran a complicated course of multimodality treatment.
DISCUSSION
The case examines the literature on femoral head osteonecrosis in this population cohort and the challenge for the orthopaedic surgeon in the management of this increasingly prevalent condition.
CONCLUSION
In a young population cohort, it is important to have arthroplasty surgery as part of the management armamentarium, especially when coupled with complex pathology.
引言
从长期来看，股骨头坏死会给患者带来严重的后遗症。多种因素被认为与这种使人衰弱的疾病过程背后的病理生理学有关。
病例介绍
我们报告了一名16岁的青少年男性，在诊断为急性淋巴细胞白血病后的3年内需要分期进行双侧混合髋关节置换术，其经历了多模式治疗的复杂过程。
讨论
该病例研究了这一人群队列中股骨头坏死的相关文献，以及骨科医生在处理这种日益普遍的病症时所面临的挑战。
结论
在年轻人群队列中，将关节置换手术作为治疗手段的一部分很重要，尤其是当伴有复杂病理情况时。
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