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髋关节置换术后发生关节突间瘘:两例报告。

Coloarticular fistula following hip arthroplasty: A report of two cases.

机构信息

Akdeniz Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 07070 Kampüs Antalya, Türkiye.

出版信息

Jt Dis Relat Surg. 2022;33(2):462-466. doi: 10.52312/jdrs.2022.518. Epub 2022 Jul 6.

Abstract

Coloarticular fistulas extending to the hip joint are rare and serious pathologies causing morbidity and mortality due to sepsis. Herein, we present two cases with rarely seen coloarticular fistula complications following hip arthroplasty operations. One is with extracting gas from the cutaneous fistula after multiple revision total hip arthroplasty operations and one is after bipolar hip hemiarthroplasty with radiation therapy as a possible etiological factor. These reports emphasize that the drains must be followed for a possible color change and air uptake due to intestinal gas content after infected hip arthroplasty operations.

摘要

累及髋关节的关节旁瘘管十分罕见,是一种严重的病理性疾病,可导致感染性并发症,引起较高的发病率和死亡率。本文报告了两例髋关节置换术后少见的关节旁瘘管并发症。一例是在多次全髋关节翻修术后,从皮肤瘘管中抽出气体;另一例是在双极髋关节半髋置换术后,可能与放射治疗有关。这些报告强调,在髋关节置换术后发生感染时,引流管必须密切观察,以防止出现肠气内容物导致的颜色变化和空气吸入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d98/9361099/c4b5d01de682/JDRS-2022-33-2-462-466-F1.jpg

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