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功能良好的全膝关节置换术后创伤性外侧膝关节脱位:一例内侧副韧带断裂病例

Traumatic Lateral Knee Dislocation of a Well-Functioning Total Knee Arthroplasty: A Case of Medial Collateral Ligament Rupture.

作者信息

Smidt Kevin, Dubose Matthew, Shahrdar Cambize

机构信息

Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.

Department of Orthopedic Surgery, Willis-Knighton Health System, Shreveport, LA, USA.

出版信息

Arthroplast Today. 2021 Sep 30;11:168-172. doi: 10.1016/j.artd.2021.08.012. eCollection 2021 Oct.

Abstract

Tibiofemoral dislocation can be a devastating complication after total knee arthroplasty. Much of the literature on tibiofemoral dislocations state they result from iatrogenic causes, with a very limited number of case reports on traumatic dislocation. Most of the time, these cases will require surgical revision and increased constraint to treat the inherent instability. In addition, collateral ligament disruption increases the complexity of the treatment algorithm for these patients. We report the case of a lateral tibiofemoral total knee arthroplasty dislocation with associated medial collateral ligament injury treated successfully without surgical interventions.

摘要

胫股关节脱位是全膝关节置换术后一种严重的并发症。关于胫股关节脱位的大部分文献表明,其是由医源性原因导致的,仅有非常有限数量的创伤性脱位病例报告。大多数情况下,这些病例需要手术翻修并增加限制措施来治疗内在的不稳定。此外,侧副韧带断裂增加了这些患者治疗方案的复杂性。我们报告了一例伴有内侧副韧带损伤的外侧胫股关节全膝关节置换术后脱位病例,该病例未经手术干预即成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7e9/8495707/0ea05e0bea5c/gr1.jpg

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