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髌骨动脉瘤样骨囊肿的全髌骨切除术。

Total patellectomy for patellar aneurysmal bone cyst.

作者信息

Çetinkaya Mehmet, Özer Hamza, Selek Hakan Y, Erekul Selim

机构信息

Department of Orthopedics and Traumatology, Medical Faculty of Gazi University, 06500 Beşevler, Ankara, Turkey.

出版信息

Eklem Hastalik Cerrahisi. 2016 Dec;27(3):175-8. doi: 10.5606/ehc.2016.35.

Abstract

Herein we report a case of patellar aneurysmal bone cyst of a 32-year-old female patient who was admitted to our outpatient clinic due to the swelling on her left knee. She was describing no trauma history but increasing pain and that the mass was expanding gradually by the time. Although it occurs rarely in patella, evaluation by radiographic and magnetic resonance images revealed that the mass was due to the patellar aneurysmal bone cyst, which also destructed the surface of the joint. Although there was no impairment in the range of motion of the patient's left knee in the preoperative evaluation, because of the destruction, we performed total patellectomy and extensor mechanism reconstruction by Zaricznyj technique instead of curettage and grafting. The patient was satisfied with the procedure performed after the surgery and there was no complication in the follow-up.

摘要

在此,我们报告一例32岁女性患者的髌骨动脉瘤样骨囊肿病例。该患者因左膝肿胀入住我院门诊。她自述无外伤史,但疼痛逐渐加重,且肿块逐渐增大。虽然髌骨动脉瘤样骨囊肿很少见,但通过X线和磁共振成像评估发现,肿块是由髌骨动脉瘤样骨囊肿引起的,该囊肿还破坏了关节表面。尽管术前评估中患者左膝关节活动范围无受损,但由于囊肿破坏,我们采用Zaricznyj技术进行了全髌骨切除术和伸肌机制重建,而非刮除术和植骨术。患者对手术后的治疗过程满意,随访期间无并发症发生。

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