24 岁克莱彭-特伦内乌斯综合征患者行非骨水泥机器人保留后交叉韧带膝关节置换术：1 例报告。
24-Year-Old Patient with Klippel-Trenaunay Syndrome Underwent Cementless Robotic Cruciate-Retaining TKA: A Case Report.
机构信息
Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, Ohio.
Department of Biomedical Engineering, Cleveland Clinic Foundation, Cleveland, Ohio.
出版信息
JBJS Case Connect. 2024 Apr 12;14(2). doi: e23.00560. eCollection 2024 Apr 1.
CASE
A 24-year-old man with Klippel-Trenaunay syndrome (KTS) presented with severe knee osteoarthritis unresponsive to conservative measures. Owing to end-stage, debilitating arthritic symptoms, surgery was pursued. Careful preoperative, multidisciplinary planning/treatment included magnetic resonance imaging to characterize the venous malformations throughout the right lower extremity, preoperative sclerotherapy, sirolimus, and robotic-assisted cementless total knee arthroplasty (TKA).
CONCLUSION
Cementless robotic-assisted TKA with selective patellar resurfacing can be a viable option for young KTS patients with severe osteoarthritis when a meticulous multidisciplinary approach, including sclerotherapy and advanced imaging, is undertaken to analyze vascular abnormalities, minimize surgical risks, preserve bone stock, and optimize outcomes.
病例
一位 24 岁的 Klippel-Trenaunay 综合征（KTS）患者，表现为严重的膝骨关节炎，经保守治疗无效。由于终末期、使人虚弱的关节炎症状，手术被提上日程。在进行手术之前，通过仔细的多学科规划/治疗，包括对整个右下肢静脉畸形进行磁共振成像（MRI）检查、术前硬化治疗、西罗莫司药物治疗以及机器人辅助非骨水泥全膝关节置换术（TKA）。
结论
对于患有严重骨关节炎的年轻 KTS 患者，当采用包括硬化治疗和先进影像学检查在内的细致的多学科方法来分析血管异常、降低手术风险、保存骨量和优化结果时，非骨水泥机器人辅助 TKA 联合选择性髌骨表面置换术是一种可行的选择。
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