股骨干骨髓内钉通道紧贴全膝关节置换胫骨柄骨水泥套导致的间隔综合征：病例报告。
Compartment Syndrome Secondary to Intraosseous Access Abutting Tibial Stem Cement Mantle of a Total Knee Arthroplasty: A Case Report.
机构信息
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.
Case Western Reserve University School of Medicine, Case Western Reserve University, Cleveland, Ohio.
出版信息
JBJS Case Connect. 2022 Feb 2;12(1):01709767-202203000-00039. doi: e21.00655.
CASE
A 79-year-old man 6 days status-post left total knee arthroplasty (TKA) presented to our institution from an outside hospital (OSH) after a suspected STEMI and ventricular fibrillation arrest. At the OSH, intraosseous (IO) access was placed in his right tibia. Orthopaedics was consulted for compartment syndrome at the IO access site. X-rays demonstrated this was secondary to the IO access abutting the cement mantle of a stemmed tibial component of a remote TKA, for which the patient required emergent fasciotomies.
CONCLUSIONS
Healthcare providers should be cognizant of potential orthopaedic hardware that can impede proper introduction of IO access.
病例
一名 79 岁男性，在接受左全膝关节置换术（TKA） 6 天后，因疑似 ST 段抬高型心肌梗死（STEMI）和心室颤动骤停，从外院（OSH）转入我院。在 OSH，其右侧胫骨中置入了骨内（IO）通路。骨科医生会诊后认为，IO 通路处发生骨筋膜室综合征，这是由于 IO 通路与远程 TKA 中胫骨组件的骨水泥覆盖层相抵触所致，患者需要紧急进行筋膜切开术。
结论
医疗保健提供者应意识到可能存在妨碍 IO 通路正确引入的骨科硬件。
Zotero 插件