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全膝关节置换治疗伴膝骨关节炎的习惯性髌骨脱位:病例报告。

Total Knee Arthroplasty for Neglected Habitual Dislocation of Patella with Knee Osteoarthritis: A Case Report.

机构信息

Department of Orthopedic Surgery, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh.

出版信息

JBJS Case Connect. 2024 Sep 20;14(3). doi: e24.00008. eCollection 2024 Jul 1.

Abstract

CASE

We performed total knee arthroplasty (TKA) on a 62-year-old male patient who presented with symptomatic knee osteoarthritis resulting from habitual dislocation of the patella. The patient had a painless unassisted gait with stable patella and 5 to 95° knee range of motion, 23 months after surgery.

CONCLUSION

TKA can be an effective treatment option for geriatric patients with habitual patellar instability and concomitant knee osteoarthritis, but may require surgical modifications based on individual pathoanatomy.

摘要

病例

我们对一名 62 岁男性患者进行了全膝关节置换术(TKA),该患者因习惯性髌骨脱位导致膝关节骨关节炎而出现症状。手术后 23 个月,患者无痛、无需辅助行走,髌骨稳定,膝关节活动度为 5°至 95°。

结论

TKA 可能是老年习惯性髌骨不稳定合并膝关节骨关节炎患者的有效治疗选择,但可能需要根据个体病理解剖进行手术修改。

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