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截肢后骨缩短:两例报告

Bone Shortening After Amputation: A Report of Two Cases.

作者信息

Tanaka Yohei, Ueno Takaaki, Miura Toshiki

机构信息

Rehabilitation Medicine, JR Tokyo General Hospital, Tokyo, JPN.

Orthopedic Surgery, JR Tokyo General Hospital, Tokyo, JPN.

出版信息

Cureus. 2023 Jun 27;15(6):e41024. doi: 10.7759/cureus.41024. eCollection 2023 Jun.

DOI:10.7759/cureus.41024
PMID:37519481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10373108/
Abstract

We report two cases of shortening of the bone at the stump after amputation. Case 1 was a 57-year-old male with a traumatic transhumeral amputation. The remaining humerus had shortened by 3.5 cm in eight months. Case 2 was a 27-year-old male with a traumatic transtibial amputation. The remaining tibia had shortened by 1.4 cm in 72 months. These two cases had the same cause of amputation, but the amputation site, age, and time course differed. Few studies have examined the bone length of stumps after amputation. The bone length of stumps is generally assumed to not change after amputation. However, the residual bone at the stump can shorten after amputation.

摘要

我们报告了两例截肢术后残端骨缩短的病例。病例1是一名57岁男性,因创伤性经肱骨截肢。剩余肱骨在八个月内缩短了3.5厘米。病例2是一名27岁男性,因创伤性经胫骨截肢。剩余胫骨在72个月内缩短了1.4厘米。这两例截肢原因相同,但截肢部位、年龄和病程不同。很少有研究探讨截肢术后残端的骨长度。一般认为截肢后残端骨长度不会改变。然而,截肢后残端的残余骨可能会缩短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1684/10373108/0a6c64284666/cureus-0015-00000041024-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1684/10373108/3090b62ec464/cureus-0015-00000041024-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1684/10373108/0a6c64284666/cureus-0015-00000041024-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1684/10373108/3090b62ec464/cureus-0015-00000041024-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1684/10373108/0a6c64284666/cureus-0015-00000041024-i02.jpg

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本文引用的文献

1
Stumped by the Mystery: A Case Report of Progressive Shortening of Bone Following an Above-Knee Amputation.
Cureus. 2022 Sep 16;14(9):e29222. doi: 10.7759/cureus.29222. eCollection 2022 Sep.
2
Amputation stump management: A narrative review.截肢残端处理:一项叙述性综述。
World J Clin Cases. 2022 May 6;10(13):3981-3988. doi: 10.12998/wjcc.v10.i13.3981.
3
Residual limb volume change: systematic review of measurement and management.残肢体积变化:测量与管理的系统评价
J Rehabil Res Dev. 2011;48(8):949-86. doi: 10.1682/jrrd.2010.09.0189.
4
Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use.下肢截肢及长期使用假肢相关继发身体状况综述。
J Rehabil Res Dev. 2008;45(1):15-29. doi: 10.1682/jrrd.2006.11.0147.
5
BMD and bone geometry in transtibial and transfemoral amputees.经胫骨和经股骨截肢者的骨密度及骨几何形态
J Bone Miner Res. 2008 Sep;23(9):1449-57. doi: 10.1359/jbmr.080402.
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Osteoarthritis and elderly amputee gait.骨关节炎与老年截肢者步态。
Arch Phys Med Rehabil. 1994 Oct;75(10):1094-9. doi: 10.1016/0003-9993(94)90084-1.