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全膝关节置换术灾难性脱位病例报告

Catastrophic case of the total knee arthroplasty dislocation: A case report.

作者信息

Mozaffar Mohammad, Sadighi Mehrdad, Sabaghzadeh Amir, Biglari Farsad, Kafiabadi Meisam Jafari, Zolghadr Amirhossein

机构信息

Department of General and Vascular Surgery, Shohada Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Orthopedic Surgery, Clinical Research Development Unit of Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int J Surg Case Rep. 2024 Aug;121:109925. doi: 10.1016/j.ijscr.2024.109925. Epub 2024 Jun 21.

DOI:10.1016/j.ijscr.2024.109925
PMID:38924922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11255352/
Abstract

INTRODUCTION AND IMPORTANCE

Arterial injury is extremely rare after total knee arthroplasty.

CASE PRESENTATION

We describe a 68-year-old woman with dislocation of total knee arthroplasty after falling from a height. She had a popliteal artery injury and a vascular bypass was performed in delay. The patient died of a second myocardial infarction 3.5 months after her first introduction to our center.

CLINICAL DISCUSSION

Due to the prominent risk of vascular injuries after dislocation in TKA patients, we recommend performing vascular evaluations using CT angiography for all patients.

CONCLUSION

Any untreated vascular compromise in the setting of TKA dislocation may lead to devastating outcomes such as amputation and death.

摘要

引言与重要性

全膝关节置换术后动脉损伤极为罕见。

病例介绍

我们描述了一名68岁女性，她从高处坠落导致全膝关节置换术后脱位。她出现了腘动脉损伤，并延迟进行了血管搭桥手术。该患者在首次入住我们中心3.5个月后死于第二次心肌梗死。

临床讨论

由于全膝关节置换术患者脱位后血管损伤风险显著，我们建议对所有患者进行CT血管造影血管评估。

结论

全膝关节置换术脱位时任何未治疗的血管损伤都可能导致截肢和死亡等灾难性后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/c1be04146a61/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/bbc65e180567/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/1952886ed394/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/333784099ae4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/c1be04146a61/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/bbc65e180567/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/1952886ed394/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/333784099ae4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/11255352/c1be04146a61/gr4.jpg

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