骨肿瘤切除术后股骨远端置换后髌骨脱位
Patella dislocation following distal femoral replacement after bone tumour resection.
作者信息
Akiyama Toru, Kanda Shotaro, Maeda Akinori, Endo Minoru, Saita Kazuo
机构信息
Department of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
出版信息
BMJ Case Rep. 2014 Jul 29;2014:bcr2014205006. doi: 10.1136/bcr-2014-205006.
We report the case of a 16-year-old girl with patella dislocation following distal femur replacement for a malignant tumour. We performed a medial plication and lateral release procedure to treat her persistent patellar dislocation after distal femur replacement following malignant tumour resection. This treatment improved the patient's gait ability dramatically. A distal femur reconstruction with a total knee arthroplasty (TKA) system for tumour resection is a frequently performed procedure. The reported incidence of patella dislocation following distal femur reconstruction with a TKA is 2.3%. However, treatment procedures for patella dislocation following a distal femur replacement after malignant tumour resection have not been studied extensively. To the best of our knowledge, this is the first English case report about patella dislocation following distal femoral replacement focusing on surgical treatment. Our experience suggests that treatment for patella dislocation following distal femur reconstruction with a TKA should be considered positively.
我们报告了一例16岁女孩，在因恶性肿瘤行股骨远端置换术后发生髌骨脱位。我们进行了内侧折叠和外侧松解手术，以治疗她在恶性肿瘤切除术后股骨远端置换后持续存在的髌骨脱位。该治疗显著改善了患者的步态能力。使用全膝关节置换（TKA）系统进行股骨远端重建以切除肿瘤是一种常见的手术。据报道，使用TKA进行股骨远端重建后髌骨脱位的发生率为2.3%。然而，恶性肿瘤切除术后股骨远端置换后髌骨脱位的治疗方法尚未得到广泛研究。据我们所知，这是第一例关于股骨远端置换后髌骨脱位并侧重于手术治疗的英文病例报告。我们的经验表明，对于使用TKA进行股骨远端重建后髌骨脱位的治疗应给予积极考虑。
Zotero 插件