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同期全膝关节置换术与胫腓骨近端关节融合术:1 例报告。

Simultaneous Total Knee Arthroplasty and Proximal Tibiofibular Joint Arthrodesis: A Case Report.

机构信息

Department of Orthopaedics, Toowoomba Hospital, South Toowoomba, Queensland, Australia.

Department of Orthopaedics, Princess Alexandra Hospital, Brisbane, Australia.

出版信息

JBJS Case Connect. 2021 May 17;11(2):01709767-202106000-00072. doi: e20.00555.

Abstract

CASE

A 57-year-old man presented with tricompartmental left knee osteoarthritis, as well as proximal tibiofibular joint arthritis and a ganglion cyst. He underwent simultaneous total knee arthroplasty and proximal tibiofibular joint arthrodesis, with an excellent outcome.

CONCLUSION

Proximal tibiofibular joint arthritis is uncommon and may be associated with tibiofemoral arthritis, proximal tibiofibular joint instability, and ankylosing spondylitis. We present a case of simultaneous total knee arthroplasty and proximal tibiofibular arthrodesis. This is an effective option for treating patients with dual pathology. The proximal tibiofibular joint should be considered as an uncommon cause of lateral knee pain.

摘要

病例

一名 57 岁男性患者表现为左膝三间隙骨关节炎,同时存在胫腓骨近端关节关节炎和腱鞘囊肿。他接受了同期全膝关节置换术和胫腓骨近端关节融合术,获得了良好的效果。

结论

胫腓骨近端关节关节炎并不常见,可能与髌股关节炎、胫腓骨近端关节不稳定和强直性脊柱炎有关。我们报告了一例同期全膝关节置换术和胫腓骨近端关节融合术的病例。这是治疗双发病变患者的有效选择。应将胫腓骨近端关节视为外侧膝关节疼痛的一个不常见原因。

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