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血友病性肘关节病的手术风险管理:深入病例研究与文献综述

Managing Surgical Risks in Hemophilic Elbow Arthropathy: An In-Depth Case Study and Literature Review.

作者信息

Pasta Gianluigi, Annunziata Salvatore, Ruggieri Roberta, Abruzzi Dario, Arrigoni Paolo, Jannelli Eugenio, Benazzo Francesco, Pedrotti Luisella, Viola Erika Maria, Rodriguez-Merchan Emérito Carlos, Mosconi Mario

机构信息

Orthopedics and Traumatology Clinic, IRCCS Policlinico San Matteo Foundation, 27100 Pavia, Italy.

Sezione di Chirurgia Protesica ad Indirizzo Robotico-Unità di Traumatologia dello Sport, U.O. Ortopedia e Traumatologia Fondazione Poliambulanza, 25124 Brescia, Italy.

出版信息

Healthcare (Basel). 2024 Sep 5;12(17):1776. doi: 10.3390/healthcare12171776.

Abstract

This study presents a detailed case analysis of a 40-year-old male patient with hemophilia A and severe chronic elbow arthropathy, exploring the surgical challenges and outcomes within the context of the current literature. The patient, with a history of multiple comorbidities including Hodgkin's lymphoma and cardiomyopathy, exhibited significant joint damage and functional impairment. A comprehensive approach was employed, collecting all relevant clinical data, including radiographic and MRI findings, to inform treatment decisions. Clinical findings and treatment decisions are presented as they occurred in real time, simulating the clinical reasoning process. Subsequent references to the clinical and instrumental findings as well therapeutic interventions are discussed in light of the current literature to reinforce the decision-making framework. This report underscores the importance of multidisciplinary care in optimizing patient outcomes and contributes to the ongoing discourse on the management of advanced musculoskeletal conditions in hemophilic patients. The findings emphasize the necessity for early intervention and specialized care to mitigate complications and improve long-term prognosis.

摘要

本研究对一名患有甲型血友病和严重慢性肘关节病的40岁男性患者进行了详细的病例分析,在当前文献的背景下探讨了手术挑战和结果。该患者有包括霍奇金淋巴瘤和心肌病在内的多种合并症病史,表现出明显的关节损伤和功能障碍。采用了综合方法,收集了所有相关临床数据,包括影像学和MRI检查结果,为治疗决策提供依据。按实际发生情况呈现临床发现和治疗决策,模拟临床推理过程。随后根据当前文献讨论临床和仪器检查结果以及治疗干预措施,以强化决策框架。本报告强调了多学科护理在优化患者预后方面的重要性,并为血友病患者晚期肌肉骨骼疾病管理的持续讨论做出了贡献。研究结果强调了早期干预和专科护理对于减轻并发症和改善长期预后的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c7d/11395053/a34d944c43c4/healthcare-12-01776-g001.jpg

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