Brown Matthew J, Song Kim, Vollmar Mary, Shelby Marcus, Leshikar Holly
Davis Department of Orthopaedic Surgery (Dr. Brown, Dr. Shelby, Dr. Leshikar), University of California, Sacramento, CA; University of Miami (Ms. Vollmar), Coral Gables, FL; and the Davis Department of Anesthesiology and Pain Medicine (Dr. Song), University of California, Sacramento, CA.
J Am Acad Orthop Surg Glob Res Rev. 2019 Dec 24;3(12). doi: 10.5435/JAAOSGlobal-D-19-00013. eCollection 2019 Dec.
Femoral fractures can be common in nonambulatory patients with myopathies because they present with notable osteoporosis. From the orthopaedic perspective, this can be complicated by a pre-existing knee flexion contracture and small femoral shaft size. The goals of treatment are to reduce external immobilization, maximize comfort for transfers, prevent functional loss, and preclude refracture. The purpose of our work is to describe the anesthetic and orthopaedic considerations in treating a bed-bound adult patient with nemaline dystrophy and a midshaft femur fracture. The authors have obtained the patient's informed written consent for print and electronic publication of the case report.
股骨骨折在患有肌病的非卧床患者中较为常见，因为他们存在明显的骨质疏松。从骨科角度来看，这可能会因先前存在的膝关节屈曲挛缩和股骨干细小而变得复杂。治疗的目标是减少外部固定、最大限度地提高转移时的舒适度、防止功能丧失以及预防再骨折。我们这项工作的目的是描述治疗一名患有杆状体肌营养不良且股骨干中段骨折的卧床成年患者时的麻醉和骨科注意事项。作者已获得患者对该病例报告进行印刷和电子出版的知情书面同意。
