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人工膝关节创伤性前脱位,从创伤到血管损伤延迟发生。

Traumatic anterior dislocation of a prosthetic knee, from trauma to delayed onset of vascular injury.

作者信息

Addevico Francesco, Nucci Anna Maria, Rosati Marco, Poggetti Andrea, Scaglione Michelangelo

机构信息

Orthopeadic and Traumatology, I orthopedic and traumatological Clinic, University of Pisa, Pisa, Pisa, Italy.

I orthopedic and traumatological Clinic, AOUP, Pisa, Pisa, Italy.

出版信息

Arthroplast Today. 2018 Oct 24;4(4):407-410. doi: 10.1016/j.artd.2018.09.001. eCollection 2018 Dec.

Abstract

Anterior dislocation of a prosthetic knee is a rare event. Only few episodes have been described in the past and have never been linked with neurovascular injury. This could lead orthopaedic surgeons to focus on the implant instability factors and underrate other complications. The authors report a case of a patient who experienced popliteal artery dissection 80 hours after traumatic anterior knee dislocation of a previously well-functioning total knee arthroplasty. Given that there is a lack of clinical cases that have established guidelines for management of this problem, the authors have focused on the importance of performing computed tomography angiography in the management of an anterior traumatic knee dislocation of a prosthetic knee.

摘要

人工膝关节前脱位是一种罕见的情况。过去仅有少数病例被描述过,且从未与神经血管损伤相关联。这可能导致骨科医生将注意力集中在植入物不稳定因素上,而低估其他并发症。作者报告了一例患者,该患者在先前功能良好的全膝关节置换术后发生创伤性膝关节前脱位80小时后出现腘动脉夹层。鉴于缺乏针对该问题管理的既定指南的临床病例,作者着重强调了在处理人工膝关节前创伤性脱位时进行计算机断层扫描血管造影的重要性。

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