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一期全膝关节置换术与髓内钉固定治疗膝关节类风湿性关节炎合并胫骨骨不连：两例报告

Management of knee rheumatoid arthritis and tibia nonunion with one-stage total knee arthroplasty and intramedullary nailing: A report of two cases.

作者信息

Erdogan Fahri, Sarikaya Ilker Abdullah, Can Ata, Gorgun Baris

机构信息

Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey.

Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2018 Jan;52(1):65-69. doi: 10.1016/j.aott.2017.04.003. Epub 2017 Jun 3.

DOI:10.1016/j.aott.2017.04.003
PMID:28583752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6136314/
Abstract

Total knee arthroplasty (TKA) is a surgical procedure which is widely used in the treatment of gonarthrosis secondary to rheumatoid arthritis (RA). The incidence of stress fractures in tibia in the patients with RA is higher compared to normal patients. In this study, we report two cases of TKA and intramedullary nailing in RA patients with severe knee arthritis and tibial nonunion. Both patients had a satisfactory clinical outcome with radiological healing of the tibial fracture.

摘要

全膝关节置换术（TKA）是一种广泛应用于治疗类风湿关节炎（RA）继发膝关节病的外科手术。与正常患者相比，RA患者胫骨应力性骨折的发生率更高。在本研究中，我们报告了两例患有严重膝关节炎和胫骨骨不连的RA患者接受TKA和髓内钉固定的病例。两名患者均获得了满意的临床疗效，胫骨骨折实现了影像学愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/0fd8e992be23/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/bad7cd251b2f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/5e4a9639e828/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/171eafe43cf0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/d62472b06ab2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/0fd8e992be23/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/bad7cd251b2f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/5e4a9639e828/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/171eafe43cf0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/d62472b06ab2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abba/6136314/0fd8e992be23/gr5.jpg

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本文引用的文献

1
One-stage total knee arthroplasty with pre-existing fracture deformity: post-fracture total knee arthroplasty.一期全膝关节置换术合并既往骨折畸形：骨折后全膝关节置换术
J Arthroplasty. 2014 Nov;29(11):2104-8. doi: 10.1016/j.arth.2014.07.007. Epub 2014 Jul 10.
2
Neurological complications after supracondylar femoral osteotomy in cerebral palsy.脑瘫患者股骨髁上截骨术后的神经并发症
J Pediatr Orthop. 2015 Apr-May;35(3):290-5. doi: 10.1097/BPO.0000000000000264.
3
Disease activity, knee function, and walking ability in patients with rheumatoid arthritis 10 years after primary total knee arthroplasty.
类风湿关节炎患者初次全膝关节置换术后10年的疾病活动度、膝关节功能及行走能力
J Orthop Surg (Hong Kong). 2014 Apr;22(1):84-7. doi: 10.1177/230949901402200121.
4
One-stage long-stem total knee arthroplasty for arthritic knees with stress fractures.一期长柄全膝关节置换术治疗合并应力性骨折的关节炎膝关节。
J Orthop Surg (Hong Kong). 2013 Aug;21(2):199-203. doi: 10.1177/230949901302100217.
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Effective treatment of a steroid-induced femoral neck fracture nonunion with a once-weekly administration of teriparatide in a rheumatoid patient: a case report.每周一次特立帕肽治疗类风湿关节炎患者激素诱导的股骨颈骨折不愈合 1 例报告
Arch Osteoporos. 2013;8(1):131. doi: 10.1007/s11657-013-0131-6. Epub 2013 Mar 29.
6
Average 10.1-year follow-up of cementless total knee arthroplasty in patients with rheumatoid arthritis.类风湿关节炎患者行非骨水泥全膝关节置换术的平均 10.1 年随访结果。
Can J Surg. 2011 Jun;54(3):179-84. doi: 10.1503/cjs.000910.
7
Studies of the efficacy and safety of methotrexate at dosages over 8 mg/week using the IORRA cohort database.使用 IORRA 队列数据库研究每周超过 8 毫克剂量的甲氨蝶呤的疗效和安全性。
Mod Rheumatol. 2011 Dec;21(6):579-93. doi: 10.1007/s10165-011-0445-4. Epub 2011 Mar 20.
8
Postmarketing surveillance of safety and effectiveness of etanercept in Japanese patients with rheumatoid arthritis.依那西普在日本类风湿关节炎患者中的安全性和有效性的上市后监测。
Mod Rheumatol. 2011 Aug;21(4):343-51. doi: 10.1007/s10165-010-0406-3. Epub 2011 Jan 25.
9
Incidence and risk factors of prosthetic joint infection after total hip or knee replacement in patients with rheumatoid arthritis.类风湿关节炎患者全髋关节或全膝关节置换术后人工关节感染的发生率及危险因素
Arthritis Rheum. 2008 Dec 15;59(12):1713-20. doi: 10.1002/art.24060.
10
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Rheumatology (Oxford). 2007 Jul;46(7):1157-60. doi: 10.1093/rheumatology/kem076. Epub 2007 May 3.