Department of Orthopaedics, Peking University International Hospital, Beijing, China.
JBJS Case Connect. 2021 Jul 9;11(3):01709767-202109000-00016. doi: e20.00922.
Using a multidisciplinary team approach, a cemented posterior-stabilized total knee arthroplasty was performed using 3-dimensional-printed patient-specific instruments (PSI) in a 34-year-old man with symptomatic end-stage knee osteoarthritis secondary to Klippel-Trénaunay syndrome (KTS). At 1-year follow-up, the patient was able to walk without pain and return to work.
Knee arthroplasty is rare in patients with KTS. Compared with traditional instrumentation, PSI provides the benefit of minimal tissue dissection which can be advantageous in patients with altered anatomy such as KTS. Multidisciplinary cooperation is vital in terms of dealing with multiple comorbidities in KTS.
一名 34 岁男性患有 Klippel-Trénaunay 综合征(KTS)继发的症状性终末期膝骨关节炎,采用多学科团队方法,使用 3D 打印患者特异性器械(PSI)行骨水泥固定后稳定型全膝关节置换术。1 年随访时,患者无痛行走并恢复工作。
KTS 患者的膝关节置换术罕见。与传统器械相比,PSI 提供了最小组织解剖的优势,这在解剖结构改变的患者中是有利的,如 KTS。多学科合作对于处理 KTS 的多种合并症至关重要。