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铰链式膝关节置换术重建小儿化脓性关节炎后遗症所致罕见膝关节畸形：一例报告

Reconstruction Using Hinged Knee Replacement of an Unusual Knee Deformity as a Sequelae of Paediatric Septic Arthritis: A Case Report.

作者信息

Gamie Zakareya, Mahmoud Ziad, Cooke Nicholas

机构信息

Trauma and Orthopaedic Surgery, Newcastle University, Newcastle upon Tyne, GBR.

Trauma and Orthopaedic Surgery, University Hospital of North Tees, Stockton-on-Tees, GBR.

出版信息

Cureus. 2025 Apr 16;17(4):e82347. doi: 10.7759/cureus.82347. eCollection 2025 Apr.

DOI:10.7759/cureus.82347
PMID:40385886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12082378/
Abstract

Patients with osteoarticular infections may have initial complications secondary to bacteraemia and late complications related to bone alterations due to infection. We present a case of a 28-year-old man with a complex deformity of his left knee as a sequelae of septic arthritis, varus with concave deformity of the lateral tibial plateau, and bony deficiency in the medial compartment. We describe how a hinged knee replacement was undertaken to deal with an unusual deformity and improve patient symptoms and function.

摘要

骨关节炎感染患者可能最初会出现继发于菌血症的并发症，后期会出现与感染导致的骨质改变相关的并发症。我们报告一例28岁男性患者，其左膝存在复杂畸形，这是化脓性关节炎的后遗症，表现为内翻畸形，外侧胫骨平台呈凹陷状，内侧间室存在骨质缺损。我们描述了如何通过进行铰链式膝关节置换来处理这种不寻常的畸形，并改善患者的症状和功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/95902c143d0d/cureus-0017-00000082347-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/7552779bd22d/cureus-0017-00000082347-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/c52de858b071/cureus-0017-00000082347-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/4eacd3a5a72a/cureus-0017-00000082347-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/c560340a18a9/cureus-0017-00000082347-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/159f47993d54/cureus-0017-00000082347-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/3b16f0658454/cureus-0017-00000082347-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/18b4dd2d0b3e/cureus-0017-00000082347-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/95902c143d0d/cureus-0017-00000082347-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/7552779bd22d/cureus-0017-00000082347-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/c52de858b071/cureus-0017-00000082347-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/4eacd3a5a72a/cureus-0017-00000082347-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/c560340a18a9/cureus-0017-00000082347-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/159f47993d54/cureus-0017-00000082347-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/3b16f0658454/cureus-0017-00000082347-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/18b4dd2d0b3e/cureus-0017-00000082347-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7e/12082378/95902c143d0d/cureus-0017-00000082347-i08.jpg

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本文引用的文献

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Orthop Surg. 2022 Jan;14(1):55-64. doi: 10.1111/os.12939. Epub 2021 Dec 5.
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Outcomes of Primary Total Knee Arthroplasty Following Septic Arthritis of the Native Knee: A Case-Control Study.原发性膝关节感染性关节炎后初次全膝关节置换术的疗效：一项病例对照研究。
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Molecular sequencing technologies in the diagnosis and management of prosthetic joint infections.
分子测序技术在人工关节感染的诊断和治疗中的应用。
Expert Rev Mol Diagn. 2022 Jun;22(6):603-624. doi: 10.1080/14737159.2021.1894929. Epub 2021 Jun 21.
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