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改良 Gritti-Stokes 截肢术治疗膝关节置换术后反复无菌性松动:单病例研究。

A modified Gritti-Stokes amputation technique as a solution for recurring aseptic loosening of a knee arthroplasty: A single-patient case study.

机构信息

Libra Rehabilitation & Audiology, Eindhoven, The Netherlands.

Department of Orthopaedic Surgery, Catharina Hospital, Eindhoven, The Netherlands.

出版信息

Prosthet Orthot Int. 2021 Feb;45(1):85-88. doi: 10.1177/0309364620946913.

DOI:10.1177/0309364620946913
PMID:33834749
Abstract

CASE DESCRIPTION

A 56-year-old man with persistent knee pain and poor physical functioning due to recurring loosening of a (revised) total knee arthroplasty, was treated with a modified Gritti-Stokes amputation.

OBJECTIVES

to describe the modified Gritti-Stokes amputation technique as an ultimate therapy for failed total knee arthroplasty and to assess the functional outcome for one patient 1 year post-surgery.

STUDY DESIGN

a single patient case study.

TREATMENT

a modified Gritti-Stokes amputation, with removal of the overlying cartilage and subchondral surfaces of both the patella and femur after removing the total knee arthroplasty.

OUTCOMES

After rehabilitation, the patient has a fully end-bearing residual limb, is able to walk without pain (with a prosthesis) and perform his daily activities.

CONCLUSIONS

In cases of recurring loosening of a (revised) total knee arthroplasty, a modified Gritti-Stokes amputation can create an end-bearing residual limb without pain and with good functional outcome.

摘要

病例描述

一位 56 岁男性,因反复(翻修)全膝关节置换术后松动,导致膝关节疼痛持续且身体机能较差,接受了改良 Gritti-Stokes 截肢术治疗。

目的

描述改良 Gritti-Stokes 截肢术作为治疗全膝关节置换术失败的终极疗法,并评估一名患者术后 1 年的功能结果。

研究设计

单病例研究。

治疗

在移除全膝关节置换术后,切除髌骨和股骨的软骨和软骨下表面。

结果

康复后,患者有一个完全负重的残肢,能够无痛行走(使用假肢)并进行日常活动。

结论

对于反复(翻修)全膝关节置换术后松动的病例,改良 Gritti-Stokes 截肢术可以在无疼痛的情况下创建一个承重的残肢,并获得良好的功能结果。

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1
A modified Gritti-Stokes amputation technique as a solution for recurring aseptic loosening of a knee arthroplasty: A single-patient case study.改良 Gritti-Stokes 截肢术治疗膝关节置换术后反复无菌性松动:单病例研究。
Prosthet Orthot Int. 2021 Feb;45(1):85-88. doi: 10.1177/0309364620946913.
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The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review.格里蒂-斯托克斯截肢术:在 21 世纪它仍是一种可靠的技术吗?一篇叙述性综述。
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