Cermak Katerina, Baillon Bruno, Tsepelidis Dimitri, Vancabeke Michel
Department of Orthopaedic Surgery, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Acta Orthop Belg. 2013 Jun;79(3):347-50.
A 46-year-old female patient with Ehlers-Danlos Syndrome had undergone fusion of her right knee 25 years before presentation. This markedly affected her quality of life. She underwent a two-stage conversion to a constrained rotating-hinge total knee arthroplasty. She regained a satisfying range of motion and she has a painfree, mobile and stable knee at 42 months follow-up. Conversion of knee fusion to TKA is a demanding procedure that should only be performed by experienced knee surgeons, in selected cases and on highly motivated patients. Complication and revision rates are reportedly very high but global satisfaction is surprisingly good. Ehlers-Danlos Syndrome was not shown to be a contraindication for such surgeries.
一名患有埃勒斯-当洛综合征的46岁女性患者在就诊前25年接受了右膝融合术。这严重影响了她的生活质量。她接受了分两阶段转换为限制性旋转铰链全膝关节置换术的手术。在随访42个月时，她恢复了令人满意的活动范围，膝关节无痛、可活动且稳定。膝关节融合术转换为全膝关节置换术是一项要求很高的手术，仅应由经验丰富的膝关节外科医生在特定病例中对积极性高的患者进行。据报道，并发症和翻修率非常高，但总体满意度出奇地好。埃勒斯-当洛综合征未被证明是此类手术的禁忌证。
