骨整合截肢术治疗难治性复杂性区域疼痛综合征患者：3 例报告
Amputation With Osseointegration for Patients With Intractable Complex Regional Pain Syndrome: A Report of 3 Cases.
机构信息
Baylor College of Medicine, Department of Pediatric Orthopaedics, Texas Children's Hospital, Houston, Texas.
Department of Orthopaedic Surgery, Macquarie University Hospital, Sydney, New South Wales, Australia.
出版信息
JBJS Case Connect. 2021 Jan 14;11(1):e20.00267. doi: 10.2106/JBJS.CC.20.00267.
CASES
Three patients with knee-level complex regional pain syndrome type 1 (CRPS1), recalcitrant to conservative interventions, elected for transfemoral amputation and osseointegration. Two patients gained independent ambulation; the third remains on crutches after a disrupted sciatic nerve targeted reinnervation. One uses no pain medication, one is weaning off, and one requires a reduced regimen after revision nerve innervation.
CONCLUSION
Osseointegration seems suitable to optimize rehabilitation after amputation for CRPS1.
病例
3 例膝关节复杂性区域疼痛综合征 1 型（CRPS1）患者经保守治疗无效，选择接受经股骨干截肢和骨整合。2 例患者获得独立行走能力；第 3 例因坐骨神经靶向再支配失败而仍需使用拐杖。1 例患者无需使用止痛药，1 例正在减少用药，1 例经神经再支配后需调整药物治疗方案。
结论
骨整合似乎适合于优化 CRPS1 截肢后的康复。
Zotero 插件