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计算机导航辅助下髋关节周围异位骨化切除术:技术要点

Computer Navigation-Assisted Resection of Heterotopic Ossification Around the Hip: A Technical Note.

作者信息

Selmene Mohamed Amine, Upex Peter, Zaraa Mourad, Moreau Pierre Emmanuel, Riouallon Guillaume

机构信息

Orthopaedic Surgery, Paris Saint-Joseph Hospital Group, Paris, FRA.

出版信息

Cureus. 2023 Aug 3;15(8):e42897. doi: 10.7759/cureus.42897. eCollection 2023 Aug.

Abstract

Heterotopic ossification is a rare but debilitating situation. It occurs in patients who have undergone paralysis and/or immobilization. Hip osteoma is one of the most frequent locations and is associated with a significant functional handicap. Its treatment is based on surgical resection, which is a risky surgery that is not devoid of complications such as infections, hematoma, and recurrence. We describe in this paper a new surgical technique that adds to the classic hip osteoma resection: guidance with a navigation system coupled to a 3D imaging tool. We performed this technique on two patients (three hips, one bilateral case). We think that this technique makes the surgery safer with fewer complications.

摘要

异位骨化是一种罕见但使人衰弱的情况。它发生在经历过瘫痪和/或固定不动的患者身上。髋部骨瘤是最常见的发病部位之一,并且与严重的功能障碍相关。其治疗基于手术切除,这是一种有风险的手术,并非没有感染、血肿和复发等并发症。我们在本文中描述了一种新的手术技术,它是在经典的髋部骨瘤切除术基础上增加了:结合3D成像工具的导航系统引导。我们对两名患者(三个髋部,一例双侧病例)实施了该技术。我们认为这种技术能使手术更安全,并发症更少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a1/10474822/22c3d1757202/cureus-0015-00000042897-i01.jpg

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