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伊利扎罗夫残肢延长术可加重幻肢痛——病例报告

Ilizarov Stump Lenthening Can Aggravate Phantom Limb Pain - a Case Report.

作者信息

Novikov Konstantin Igorevich, Subramanyam Koushik Narayan, Kolesnikov Sergey V, Chegurov Oleg K, Kolesnikova Elina S, Mundargi Abhishek V

机构信息

T&O Department, Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, M.Ulianova, Kurgan, Russia.

Department of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences, Prashanthigram, Puttaparthi, Andhra Pradesh, India.

出版信息

Arch Bone Jt Surg. 2018 May;6(3):240-242.

Abstract

Ilizarov is an accepted technique for lengthening short amputation stumps to improve prosthetic function and rehabilitation. The relation of stump lengthening and phantom limb pain (PLP) has not been reported in literature. We present here a case report of a transfemoral amputee who had a flare up of PLP following stump lengthening. He responded well to a combination of pharmacological therapy and soft tissue manipulative techniques and desired length was achieved. This report alerts the possibility of aggravation of PLP following stump lengthening and discusses its management.

摘要

伊里扎洛夫技术是一种被认可的用于延长短截肢残端以改善假肢功能和康复的技术。残端延长与幻肢痛(PLP)之间的关系在文献中尚未见报道。我们在此呈现一例经股骨截肢患者在残端延长后出现幻肢痛发作的病例报告。他对药物治疗和软组织手法治疗相结合的方法反应良好,并达到了期望的长度。本报告提醒注意残端延长后幻肢痛加重的可能性,并讨论了其处理方法。

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本文引用的文献

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Phantom limbs: pain, embodiment, and scientific advances in integrative therapies.幻肢:疼痛、体现和综合疗法的科学进展。
Wiley Interdiscip Rev Cogn Sci. 2014 Mar;5(2):221-31. doi: 10.1002/wcs.1277. Epub 2014 Feb 11.
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Phantom pain and risk factors: a multivariate analysis.幻肢痛及其危险因素:一项多变量分析。
J Pain Symptom Manage. 2002 Dec;24(6):578-85. doi: 10.1016/s0885-3924(02)00538-9.
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Lengthening of an above-knee amputation stump with the Ilizarov technique--a case report.
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