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青少年类风湿关节炎后遗症导致的同期一期全膝关节和全髋关节置换术:一例报告

Concurrent one-stage total knee and hip arthroplasty due to sequel of juvenile rheumatoid arthritis: A case report.

作者信息

Taheriazam Afshin, Saeidinia Amin

机构信息

aDepartment of Orthopedics Surgery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran bMashhad University of Medical Sciences, Mashhad cGuilan University of Medical Sciences, Rasht, Iran.

出版信息

Medicine (Baltimore). 2017 Nov;96(46):e8779. doi: 10.1097/MD.0000000000008779.

DOI:10.1097/MD.0000000000008779
PMID:29145334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5704879/
Abstract

RATIONALE

Rheumatoid arthritis is a chronic systemic connective tissue disease. Total hip and knee arthroplasties are common major orthopaedic procedures worldwide.

PATIENT CONCERNS

To date, no studies have presented 1-stage concurrent total hip arthroplasty (THA) and total knee arthroplasty (TKA) in patients with rheumatoid arthritis (RA). We reported a case which is, to our knowledge, the first description of both THA and TKA in a patient with RA simultaneously.

DIAGNOSES

History of juvenile rheumatoid arthritis (JRA), deterioration of signs and symptoms in history and physical examinations and radiography were lead to making decision for her surgery.

INTERVENTIONS

Concurrent total hip replacement and total knee arthroplasty were performed for patient.

OUTCOMES

After more than a 2-year follow-up time, the patient showed excellent clinical function and remained satisfied with the surgical outcome. Multiple simultaneous total joint arthroplasty (TJA) is reviewed in this article.

LESSONS

Joint arthroplasty surgeries can be performed in a simultaneous procedure to shorten disability and rehabilitation time with one anesthesia.

摘要

理论依据

类风湿性关节炎是一种慢性全身性结缔组织疾病。全髋关节和全膝关节置换术是全球常见的主要骨科手术。

患者情况

迄今为止,尚无研究报道类风湿性关节炎(RA)患者一期同时进行全髋关节置换术(THA)和全膝关节置换术(TKA)。据我们所知,我们报告了一例RA患者同时进行THA和TKA的首例病例描述。

诊断

青少年类风湿性关节炎(JRA)病史、病史及体格检查和影像学检查中体征和症状的恶化促使为她做出手术决定。

干预措施

为患者同时进行了全髋关节置换和全膝关节置换术。

结果

经过2年多的随访,患者临床功能良好,对手术结果仍满意。本文对多次同时进行的全关节置换术(TJA)进行了综述。

经验教训

关节置换手术可以同时进行,以通过一次麻醉缩短残疾和康复时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a556/5704879/dde18ec72e50/medi-96-e8779-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a556/5704879/aff7c905b482/medi-96-e8779-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a556/5704879/dde18ec72e50/medi-96-e8779-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a556/5704879/aff7c905b482/medi-96-e8779-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a556/5704879/dde18ec72e50/medi-96-e8779-g002.jpg

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2
Cementless One-Stage Bilateral Total Hip Arthroplasty in Osteoarthritis Patients: Functional Outcomes and Complications.骨关节炎患者的非骨水泥型一期双侧全髋关节置换术:功能结果与并发症
Orthop Rev (Pavia). 2017 Jun 23;9(2):6897. doi: 10.4081/or.2017.6897.
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Total Hip and Knee arthroplasty in a patient with osteopetrosis: a case report and review of the literature.
年轻患者(<30岁)一期双侧全髋关节置换术的短期疗效
Orthop Rev (Pavia). 2018 Jul 4;10(2):7542. doi: 10.4081/or.2018.7542. eCollection 2018 Jun 14.
一名骨硬化症患者的全髋关节和膝关节置换术:病例报告及文献综述
BMC Musculoskelet Disord. 2015 Sep 21;16:259. doi: 10.1186/s12891-015-0716-x.
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