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[保守治疗闭合性髋臼骨折后发生的化脓性髋关节炎。病例报告]

[Septic hip arthritis after a closed acetabulum fracture treated conservatively. Case report].

作者信息

Latorre Marcos Raúl, Molho Nicolas Martín, Soruco María Liliana, Diaz Dilernia Fernando, Carabelli Guido Sebastián, Buttaro Martín Alejandro

机构信息

Hospital Italiano de Buenos Aires.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2022 Jun 6;79(2):197-200. doi: 10.31053/1853.0605.v79.n2.33158.

DOI:10.31053/1853.0605.v79.n2.33158
PMID:35700465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9426335/
Abstract

Necrotizing fasciitis is a life-threatening infection. Inmediate diagnosis and treatment are essential. Acetabulum fractures are a frequent identity in older adults today, associated with low-energy trauma. The indication for surgical or conservative treatment depends on multiple factors such as the age and comorbidities of the patient, the type and location of the fracture, and the socio-economic environment. We described an unusual case of infected hematoma, secondary to a closed acetabulum fracture, which led to septic arthritis of the hip joint.

摘要

坏死性筋膜炎是一种危及生命的感染。立即诊断和治疗至关重要。髋臼骨折在当今老年人中很常见,与低能量创伤有关。手术或保守治疗的指征取决于多种因素,如患者的年龄和合并症、骨折的类型和部位以及社会经济环境。我们描述了一例不寻常的病例,即闭合性髋臼骨折继发感染性血肿,导致髋关节化脓性关节炎。

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Rev Fac Cien Med Univ Nac Cordoba. 2022 Jun 6;79(2):197-200. doi: 10.31053/1853.0605.v79.n2.33158.
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本文引用的文献

1
Outcomes and predictors of treatment failure following two-stage total joint arthroplasty with articulating spacers for evolutive septic arthritis.两阶段全关节置换术联合活动间隔物治疗进展性感染性关节炎的治疗失败结果和预测因素。
BMC Musculoskelet Disord. 2019 Jun 3;20(1):272. doi: 10.1186/s12891-019-2652-7.
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Septic arthritis following femoral neck fracture: A case report.股骨颈骨折后感染性关节炎:一例报告。
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3
Radiographic Evaluation of Acetabular Fractures: Review and Update on Methodology.
髋臼骨折的影像学评估:方法学的综述与更新。
J Am Acad Orthop Surg. 2018 Feb 1;26(3):83-93. doi: 10.5435/JAAOS-D-15-00666.
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Management of Acetabular Fractures in the Elderly.老年人髋臼骨折的管理
J Am Acad Orthop Surg. 2017 Aug;25(8):577-585. doi: 10.5435/JAAOS-D-15-00510.
5
Comparison of outcomes of operative versus non-operative treatment of acetabular fractures in the elderly and severely comorbid patient.老年及严重合并症患者髋臼骨折手术与非手术治疗效果的比较
Eur J Orthop Surg Traumatol. 2017 Jul;27(5):689-694. doi: 10.1007/s00590-017-1949-1. Epub 2017 Apr 7.
6
Acetabular bone loss in revision total hip arthroplasty: evaluation and management.髋关节翻修术中髋臼骨量丢失的评估与处理
J Am Acad Orthop Surg. 2013 Mar;21(3):128-39. doi: 10.5435/JAAOS-21-03-128.
7
Arthroplasty following a septic arthritis history: a 53 cases series.关节炎手术后感染性关节炎病史:53 例系列。
Orthop Traumatol Surg Res. 2010 Dec;96(8):840-3. doi: 10.1016/j.otsr.2010.06.009. Epub 2010 Oct 28.
8
Fractures of the acetabulum in patients aged 60 years and older: an epidemiological and radiological study.60岁及以上患者的髋臼骨折:一项流行病学和放射学研究。
J Bone Joint Surg Br. 2010 Feb;92(2):250-7. doi: 10.1302/0301-620X.92B2.22488.
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Total hip arthroplasty for primary septic arthritis of the hip in adults.成人髋关节原发性化脓性关节炎的全髋关节置换术。
Int Orthop. 2008 Oct;32(5):573-80. doi: 10.1007/s00264-007-0366-1. Epub 2007 May 5.