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保留交叉韧带的全膝关节置换术后创伤性前膝关节脱位的非侵入性管理:一例报告

Noninvasive Management after a Traumatic Anterior Knee Dislocation in a Cruciate Retaining Total Knee Arthroplasty: A Case Report.

作者信息

Pires E Albuquerque Rodrigo Sattamini, Vivacqua Thiago, de Faria José Leonardo Rocha, Pavão Douglas Mello, Titonelli Victor Elias

机构信息

Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil.

Clínica de Medicina Esportiva Fowler Kennedy, Ontário, Canadá.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Apr 22;59(Suppl 2):e155-e158. doi: 10.1055/s-0043-1770978. eCollection 2024 Nov.

DOI:10.1055/s-0043-1770978
PMID:39735461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11679635/
Abstract

The reported case describes a traumatic anterior knee dislocation of a previous asymptomatic knee after a posterior cruciate-retaining primary knee arthroplasty. The described patient accidentally rolled over her knee six years after the surgical intervention. Anterior traumatic dislocation after knee arthroplasty is an uncommon event often leading to prosthetic's components revision due to its associated ligament injuries. A noninvasive approach was successfully achieved with temporary external fixation and a short period using a rigid knee brace.

摘要

该报告病例描述了一例在保留后交叉韧带的初次膝关节置换术后,原本无症状的膝关节发生创伤性前脱位。所述患者在手术干预六年之后意外翻身压到了她的膝盖。膝关节置换术后的创伤性前脱位是一种罕见事件,由于其相关的韧带损伤,常导致假体组件翻修。通过临时外固定和短期使用刚性膝关节支具成功实现了非侵入性治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/cbe5d1727529/10-1055-s-0043-1770978-i2300001pt-5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/cbe5d1727529/10-1055-s-0043-1770978-i2300001pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/d9b289b42bfe/10-1055-s-0043-1770978-i2300001en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/899c72dd3ea2/10-1055-s-0043-1770978-i2300001en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/c2376ff38056/10-1055-s-0043-1770978-i2300001en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/55cacf525029/10-1055-s-0043-1770978-i2300001en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/4ac2b15c56fc/10-1055-s-0043-1770978-i2300001en-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/020ea102339e/10-1055-s-0043-1770978-i2300001pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/ce6ddf88efdf/10-1055-s-0043-1770978-i2300001pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/641e47f2da89/10-1055-s-0043-1770978-i2300001pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/c115e689e099/10-1055-s-0043-1770978-i2300001pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b891/11679635/cbe5d1727529/10-1055-s-0043-1770978-i2300001pt-5.jpg

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本文引用的文献

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Clin Pract. 2021 Sep 18;11(3):687-693. doi: 10.3390/clinpract11030084.
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Rare Case of Traumatic Anterior Knee Dislocation of Total Knee Arthroplasty With a Serious Neurovascular Injury.全膝关节置换术后创伤性前膝关节脱位合并严重神经血管损伤的罕见病例
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Tibiofemoral dislocation after primary total knee arthroplasty: a systematic review.
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Coronal femoral TKA position significantly influences in vivo patellar loading in unresurfaced patellae after primary total knee arthroplasty.在初次全膝关节置换术后,股骨冠状面TKA位置对未行髌骨表面置换的髌骨的体内负荷有显著影响。
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