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与全膝关节置换无菌性松动和聚乙烯磨损相关的滑膜瘘

Synovial Fistula Associated With Total Knee Replacement Aseptic Loosening and Polyethylene Wear.

作者信息

Hernandez-Rodriguez Saul, Padilla-Martinez Liannette

机构信息

Hospital Pavia Arecibo, Arecibo Orthopedic Institute, Arecibo, PR, USA.

出版信息

Arthroplast Today. 2024 Oct 12;30:101447. doi: 10.1016/j.artd.2024.101447. eCollection 2024 Dec.

DOI:10.1016/j.artd.2024.101447
PMID:39822909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11735925/
Abstract

Synovial fistula of the knee occurs when a defect in the joint capsule creates a connection between skin, bursa, and a near tissue, manifesting as an opening with continuous draining fluid or a cyst. This is a case of an 80-year-old male who developed a synovial fistula with cystic presentation 6 years after the primary total knee arthroplasty. Management included a total knee arthroplasty revision surgery with intraoperative identification of the fistula with methylene blue, and using a gelatin-thrombin matrix for closure. This case shows a possible complication of catastrophic polyethylene insert wear and management.

摘要

膝关节滑膜瘘是指关节囊出现缺损，导致皮肤、滑囊和附近组织之间形成连接，表现为有持续引流液的开口或囊肿。本文报告一例80岁男性患者，在初次全膝关节置换术后6年出现囊性表现的滑膜瘘。治疗包括全膝关节置换翻修手术，术中用亚甲蓝识别瘘管，并使用明胶-凝血酶基质进行封闭。该病例显示了灾难性聚乙烯内衬磨损的一种可能并发症及其处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/a1cd9e21b4bb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/cb0a94804947/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/8ecb21623353/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/2383886994fb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/127f8d5a4071/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/a1cd9e21b4bb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/cb0a94804947/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/8ecb21623353/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/2383886994fb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/127f8d5a4071/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2324/11735925/a1cd9e21b4bb/gr5.jpg

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本文引用的文献

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Characteristics of Synovial Fistula of the Ankle Joint: A Case Series.踝关节滑膜瘘的特征：病例系列
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