多发性硬化症患者的全膝关节置换术。

Hughes Kaitlyn E, Nickel Darren, Gurney-Dunlop Tanner, Knox Katherine B

University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Department of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Arthroplast Today. 2016 Mar 23;2(3):117-122. doi: 10.1016/j.artd.2015.12.002. eCollection 2016 Sep.

We present a case report of total knee arthroplasty complicated by spasticity and contractures in a patient with multiple sclerosis (MS). Four previous case reports in the literature describe adverse outcomes after total knee arthroplasty in persons with MS secondary to severe spasticity. Preoperative, intraoperative, and postoperative considerations for persons with MS, which may help to improve functional outcomes, are discussed. Prospective research is needed among persons with MS to help determine the timing and selection of persons for arthroplasty and to minimize complications related to spasticity.

我们报告一例多发性硬化症（MS）患者全膝关节置换术后并发痉挛和挛缩的病例。文献中之前的四份病例报告描述了MS患者因严重痉挛导致全膝关节置换术后的不良结局。本文讨论了MS患者术前、术中和术后的注意事项，这些注意事项可能有助于改善功能结局。需要对MS患者进行前瞻性研究，以帮助确定关节置换术的时机和患者选择，并尽量减少与痉挛相关的并发症。