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全膝关节置换术中使用止血带后发生脂肪坏死

Fat Necrosis Following Application of a Tourniquet During Total Knee Arthroplasty.

作者信息

Sammut Kim, Gatt Raymond, Chircop Kieran

机构信息

Mater Dei Hospital, Msida, Malta.

出版信息

Arthroplast Today. 2022 Jul 19;16:207-210. doi: 10.1016/j.artd.2022.06.005. eCollection 2022 Aug.

DOI:10.1016/j.artd.2022.06.005
PMID:35874148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9304645/
Abstract

A 60-year-old female underwent a right total knee arthroplasty but developed postoperative pain, swelling, and decreased knee range of motion. An ultrasound scan showed findings suggestive of fat necrosis at the site of previous tourniquet application. Following regular reviews, intensive physiotherapy, and analgesia, symptoms only started to resolve 5 months following the primary surgery. Fat necrosis of the thigh is highly uncommon following the application of tourniquets during total knee arthroplasty. This case was treated successfully without complications using nonoperative measures.

摘要

一名60岁女性接受了右全膝关节置换术，但术后出现疼痛、肿胀及膝关节活动范围减小。超声检查显示在先前使用止血带的部位有脂肪坏死的迹象。经过定期复查、强化物理治疗和镇痛后，症状在初次手术后5个月才开始缓解。全膝关节置换术中使用止血带后大腿出现脂肪坏死极为罕见。该病例采用非手术措施成功治疗，未出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/fd3139684c6b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/988bbe5e6582/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/397eea91161f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/db824cb462b2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/fd3139684c6b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/988bbe5e6582/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/397eea91161f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/db824cb462b2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53b6/9304645/fd3139684c6b/gr4.jpg

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Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients.高危患者髋关节和膝关节置换术中氨甲环酸的安全性。
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不同止血带压力对全膝关节置换术后疼痛和并发症的影响：一项前瞻性、随机对照试验。
J Arthroplasty. 2021 May;36(5):1638-1644. doi: 10.1016/j.arth.2020.12.049. Epub 2021 Jan 5.
4
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Bone Joint Res. 2020 Jun 30;9(6):322-332. doi: 10.1302/2046-3758.96.BJR-2019-0180.R3. eCollection 2020 Jun.
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The effects of tourniquet use on blood loss in primary total knee arthroplasty for patients with osteoarthritis: a meta-analysis.止血带在骨关节炎患者初次全膝关节置换术中对失血影响的荟萃分析。
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