采用带柄表面置换全膝关节置换术进行股骨缩短截骨术治疗青少年类风湿关节炎严重屈曲挛缩
Shortening femoral osteotomy with stemmed resurfacing total knee arthroplasty for severe flexion contracture in Juvenile Rheumatoid Arthritis.
作者信息
Kitchen Brock, Sanchez Hugo B, Wagner Russell A
机构信息
University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, TX 76107, United States.
University of North Texas Health Science Center, Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX 76104, United States.
出版信息
J Orthop. 2014 Jul 14;12(2):118-21. doi: 10.1016/j.jor.2014.05.002. eCollection 2015 Jun.
Juvenile Rheumatoid Arthritis (JRA) is a progressive disease characterized by pain, swelling, and loss of motion in the joints of adolescents. Total knee arthroplasty (TKA) can be indicated, during the adolescent years, in patients with advanced JRA to alleviate pain and improve function. Because of the relative infrequency of TKA in patients with JRA, evaluation of the type of TKA performed and the results merit review. This case report present two distinct operations performed to obtain full extension. 1. Distal femoral resection with conversion to hinged arthroplasty. 2. Femoral shortening osteotomy with resurfacing TKA.
青少年类风湿性关节炎（JRA）是一种进行性疾病，其特征为青少年关节疼痛、肿胀和活动受限。在青少年时期，对于晚期JRA患者，全膝关节置换术（TKA）可用于缓解疼痛和改善功能。由于JRA患者接受TKA的情况相对较少，因此对所施行的TKA类型及其结果进行评估值得探讨。本病例报告介绍了为实现完全伸直而进行的两种不同手术。1. 股骨远端切除术并转换为铰链式关节成形术。2. 股骨缩短截骨术并进行表面置换TKA。
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