化脓性骶髂关节炎后不稳定的处理：技术病例报告
Management of Instability following Pyogenic Sacroiliitis: Technical Case Report.
作者信息
Passaplan C, Simonin A, Maestretti G, Gautier E
机构信息
Orthopaedic Surgery, Cantonal Hospital of Fribourg (HFR), Chemin des Pensionnats 2, 1700 Fribourg, Switzerland.
出版信息
Case Rep Orthop. 2020 Feb 29;2020:3409306. doi: 10.1155/2020/3409306. eCollection 2020.
BACKGROUND
Septic arthritis of the sacroiliac joint (SI-joint) is a rare and often delayed diagnosis. Management usually consists of intravenous antibiotics and debridement of infected tissue. However, very few reports consider the management of the secondary instability of the sacroiliac joint. . We report a case of a 16-year-old girl diagnosed with pyogenic sacroiliitis who benefited from aggressive surgical debridement and primary arthrodesis for infection-related SI-joint instability in the acute infection phase.
CONCLUSION
Diagnosis of pyogenic sacroiliitis is often delayed. Destruction of the joint can lead to chronic pain and instability. In cases of obvious intraoperative instability, primary arthrodesis could be considered in young patients.
背景
骶髂关节化脓性关节炎较为罕见，诊断往往延迟。治疗通常包括静脉使用抗生素和对感染组织进行清创。然而，很少有报告涉及骶髂关节继发性不稳定的处理。我们报告一例16岁女孩诊断为化脓性骶髂关节炎，在急性感染期因感染相关的骶髂关节不稳定接受积极手术清创和一期关节融合术并从中获益。
结论
化脓性骶髂关节炎的诊断常常延迟。关节破坏可导致慢性疼痛和不稳定。在术中明显不稳定的情况下，年轻患者可考虑一期关节融合术。
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