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膝关节骨关节炎部位的巨大孤立性囊肿：采用合成可吸收骨移植替代物及初次全膝关节置换术治疗

Giant Solitary Cyst at the Site of Knee Osteoarthritis: Treatment with a Synthetic Resorbable Bone Graft Substitute and Primary Total Knee Arthroplasty.

作者信息

Thiery Andreas, Tapos Octavian, Anagnostakos Konstantinos

机构信息

Zentrum für Orthopädie und Unfallchirurgie, Städtisches Klinikum Saarbrücken, Saarbrücken, Germany.

出版信息

Case Rep Orthop. 2018 Jul 18;2018:1693131. doi: 10.1155/2018/1693131. eCollection 2018.

DOI:10.1155/2018/1693131
PMID:30123595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6079500/
Abstract

A 48-year-old male patient presented in our department with knee osteoarthritis and a giant cystic lesion of the lateral femoral condyle. Bone biopsy of the lesion was performed. Histopathological examination confirmed the presence of a solitary bone cyst. The patient was treated by curettage of the cyst, filling with a synthetic resorbable bone graft substitute (Cerament™), and primary, cruciate-retaining total knee arthroplasty. 4 months after surgery, complete osseointegration of the bone graft substitute was evident on X-rays. The use of modern bone graft substitutes might be a novel alternative to other established techniques in the management of large bone lesions, even at the site of primary total knee replacement.

摘要

一名48岁男性患者因膝关节骨关节炎和股骨外侧髁巨大囊性病变前来我科就诊。对该病变进行了骨活检。组织病理学检查证实为孤立性骨囊肿。患者接受了囊肿刮除术，填充合成可吸收骨移植替代物（Cerament™），并进行了初次保留交叉韧带的全膝关节置换术。术后4个月，X线片显示骨移植替代物完全骨整合。在治疗大型骨病变时，即使是在初次全膝关节置换部位，使用现代骨移植替代物可能是其他既定技术的一种新选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/e14f785a712c/CRIOR2018-1693131.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/1a1e3900de69/CRIOR2018-1693131.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/7ef2c889c68f/CRIOR2018-1693131.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/fe4d0eac3463/CRIOR2018-1693131.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/c5d80bdd23fe/CRIOR2018-1693131.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/7db73d007d69/CRIOR2018-1693131.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/affa57599510/CRIOR2018-1693131.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/e14f785a712c/CRIOR2018-1693131.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/1a1e3900de69/CRIOR2018-1693131.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/7ef2c889c68f/CRIOR2018-1693131.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/fe4d0eac3463/CRIOR2018-1693131.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/c5d80bdd23fe/CRIOR2018-1693131.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/7db73d007d69/CRIOR2018-1693131.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/affa57599510/CRIOR2018-1693131.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcb7/6079500/e14f785a712c/CRIOR2018-1693131.007.jpg

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本文引用的文献

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PLoS One. 2017 May 8;12(5):e0177285. doi: 10.1371/journal.pone.0177285. eCollection 2017.
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Arthrofibrosis Associated With Total Knee Arthroplasty.全膝关节置换术后相关的关节纤维化
J Arthroplasty. 2017 Aug;32(8):2604-2611. doi: 10.1016/j.arth.2017.02.005. Epub 2017 Feb 14.
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Orthopedics. 2016 Nov 1;39(6):e1193-e1196. doi: 10.3928/01477447-20160721-02. Epub 2016 Aug 3.
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The Use of Bone Graft Substitute in Hand Surgery: A Prospective Observational Study.骨移植替代物在手部手术中的应用：一项前瞻性观察研究。
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Complete twelve month bone remodeling with a bi-phasic injectable bone substitute in benign bone tumors: a prospective pilot study.使用双相可注射骨替代物完成良性骨肿瘤的十二个月骨重塑：一项前瞻性初步研究。
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