• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

采用Masquelet技术治疗全膝关节置换术后失控感染及伸肌机制缺陷的膝关节融合术

Knee Arthrodesis Using the Masquelet Technique for Postoperative Uncontrolled Infection and Extensor Mechanism-Deficient Total Knee Arthroplasty.

作者信息

Abe Kengo, Takasaki Minoru, Fukagawa Shingo

机构信息

Department of Orthopaedic Surgery, National Health Organization (NHO) Kokura Medical Center, Kitakyushu, JPN.

Department of Orthopaedic Surgery, Kyushu Rosai Hospital, Kitakyushu, JPN.

出版信息

Cureus. 2025 Jun 18;17(6):e86315. doi: 10.7759/cureus.86315. eCollection 2025 Jun.

DOI:10.7759/cureus.86315
PMID:40688931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12274137/
Abstract

Total knee arthroplasty (TKA) is a widely performed surgical procedure known for its favorable long-term outcomes. However, postoperative infection poses significant treatment challenges and may lead to severe complications. This case involves a 55-year-old woman who developed a patellar fracture following TKA, complicated by deep infection after osteosynthesis and accompanied by loss of extensor mechanism. Despite undergoing multiple surgeries, the treatment process proved difficult. Ultimately, knee arthrodesis with bilateral plates was performed using the Masquelet technique. The postoperative course was favorable, with successful bone union achieved. Although the patient experienced a leg length discrepancy, she regained the ability to walk short distances. Knee arthrodesis employing the Masquelet technique proved effective for infection control, bone regeneration, and management of extensor mechanism deficiency, making it a viable treatment option for managing postoperative infections after TKA.

摘要

全膝关节置换术（TKA）是一种广泛开展的外科手术，以其良好的长期效果而闻名。然而，术后感染带来了重大的治疗挑战，并可能导致严重并发症。本病例涉及一名55岁女性，她在全膝关节置换术后发生髌骨骨折，接骨术后并发深部感染，并伴有伸肌机制丧失。尽管接受了多次手术，但治疗过程仍很困难。最终，采用Masquelet技术使用双侧钢板进行了膝关节融合术。术后过程顺利，实现了成功的骨愈合。尽管患者存在腿长差异，但她恢复了短距离行走的能力。采用Masquelet技术的膝关节融合术被证明对控制感染、促进骨再生和处理伸肌机制缺陷有效，使其成为治疗全膝关节置换术后感染的可行治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/be9918aef9ad/cureus-0017-00000086315-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/0525ba35fd11/cureus-0017-00000086315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/dc60a8ace7c2/cureus-0017-00000086315-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/f37a44d8baae/cureus-0017-00000086315-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/d20f5f5f23c2/cureus-0017-00000086315-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/7e0e14d7bcf6/cureus-0017-00000086315-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/a0c743746799/cureus-0017-00000086315-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/3c53824e3511/cureus-0017-00000086315-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/be9918aef9ad/cureus-0017-00000086315-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/0525ba35fd11/cureus-0017-00000086315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/dc60a8ace7c2/cureus-0017-00000086315-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/f37a44d8baae/cureus-0017-00000086315-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/d20f5f5f23c2/cureus-0017-00000086315-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/7e0e14d7bcf6/cureus-0017-00000086315-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/a0c743746799/cureus-0017-00000086315-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/3c53824e3511/cureus-0017-00000086315-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e96/12274137/be9918aef9ad/cureus-0017-00000086315-i08.jpg

相似文献

1
Knee Arthrodesis Using the Masquelet Technique for Postoperative Uncontrolled Infection and Extensor Mechanism-Deficient Total Knee Arthroplasty.采用Masquelet技术治疗全膝关节置换术后失控感染及伸肌机制缺陷的膝关节融合术
Cureus. 2025 Jun 18;17(6):e86315. doi: 10.7759/cureus.86315. eCollection 2025 Jun.
2
Extensor mechanism reconstruction with allograft following total knee arthroplasty: a systematic review and meta-analysis of achilles tendon versus extensor mechanism allografts for isolated chronic patellar tendon ruptures.异体移植物重建全膝关节置换术后伸肌机制：跟腱与伸肌机制异体移植物治疗孤立性慢性髌腱断裂的系统评价和荟萃分析。
Arch Orthop Trauma Surg. 2023 Jul;143(7):4411-4424. doi: 10.1007/s00402-022-04718-5. Epub 2022 Dec 3.
3
Do the Revision Rates of Arthroplasty Surgeons Correlate With Postoperative Patient-reported Outcome Measure Scores? A Study From the Australian Orthopaedic Association National Joint Replacement Registry.关节置换外科医生的修正率与术后患者报告的结果测量评分相关吗？来自澳大利亚骨科协会全国关节置换登记处的一项研究。
Clin Orthop Relat Res. 2024 Jan 1;482(1):98-112. doi: 10.1097/CORR.0000000000002737. Epub 2023 Jun 20.
4
Does Augmenting Irradiated Autografts With Free Vascularized Fibula Graft in Patients With Bone Loss From a Malignant Tumor Achieve Union, Function, and Complication Rate Comparably to Patients Without Bone Loss and Augmentation When Reconstructing Intercalary Resections in the Lower Extremity?对于因恶性肿瘤导致骨缺损的患者，在重建下肢节段性切除时，采用带血管游离腓骨移植来增强照射后的自体骨移植，其骨愈合、功能及并发症发生率与无骨缺损且未进行增强的患者相比是否相当？
Clin Orthop Relat Res. 2025 Jun 26. doi: 10.1097/CORR.0000000000003599.
5
What Is the Likelihood of Union and Frequency of Complications After Parallel Plating and Supplemental Bone Grafting for Resistant Distal Femoral Nonunions?平行钢板固定联合补充植骨治疗耐药性股骨远端骨不连的愈合可能性和并发症频率如何？
Clin Orthop Relat Res. 2024 Feb 1;482(2):362-372. doi: 10.1097/CORR.0000000000002809. Epub 2023 Aug 28.
6
Conversion from knee arthrodesis to arthroplasty: systematic review.从膝关节融合术转换为关节成形术：系统评价
Int Orthop. 2016 Oct;40(10):2069-2074. doi: 10.1007/s00264-016-3150-2. Epub 2016 Mar 16.
7
Learning curve of robotic assisted total knee arthroplasty within a surgical team: A prospective study of 115 cases.手术团队中机器人辅助全膝关节置换术的学习曲线：115例前瞻性研究。
Orthop Traumatol Surg Res. 2025 Jun 30:104325. doi: 10.1016/j.otsr.2025.104325.
8
Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report.全膝关节置换术同期行切开复位内固定术后髌骨不愈合翻修并植骨：1例病例报告
J Orthop Case Rep. 2025 Jul;15(7):157-162. doi: 10.13107/jocr.2025.v15.i07.5806.
9
Masquelet technique: myth or reality? A systematic review and meta-analysis.马斯凯莱特技术：神话还是现实？一项系统评价与荟萃分析。
Injury. 2016 Dec;47 Suppl 6:S68-S76. doi: 10.1016/S0020-1383(16)30842-7.
10
Surgical versus non-surgical interventions for displaced intra-articular calcaneal fractures.手术与非手术干预治疗移位型关节内跟骨骨折。
Cochrane Database Syst Rev. 2023 Nov 7;11(11):CD008628. doi: 10.1002/14651858.CD008628.pub3.

本文引用的文献

1
Projected numbers of knee and hip arthroplasties up to the year 2030 in Japan.日本截至2030年膝关节和髋关节置换术的预计数量。
J Orthop Sci. 2023 Jan;28(1):161-166. doi: 10.1016/j.jos.2021.09.002. Epub 2021 Sep 27.
2
Trends in arthroplasty in Japan by a complete survey, 2014-2017.2014-2017 年日本关节置换术的全面调查趋势。
J Orthop Sci. 2021 Sep;26(5):812-822. doi: 10.1016/j.jos.2020.07.022. Epub 2020 Sep 12.
3
Knee arthrodesis as last resort for persistent knee joint infections : Comparison of extramedullary and intramedullary treatment.
膝关节融合术作为治疗持续性膝关节感染的最后手段：髓外与髓内治疗的比较。
Orthopade. 2021 Mar;50(3):207-213. doi: 10.1007/s00132-020-03939-z.
4
Bone Repair Using the Masquelet Technique.采用Masquelet技术进行骨修复。
J Bone Joint Surg Am. 2019 Jun 5;101(11):1024-1036. doi: 10.2106/JBJS.18.00842.
5
External Fixation vs Intramedullary Nailing for Knee Arthrodesis After Failed Infected Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.失败感染性全膝关节置换术后膝关节融合术中外固定与髓内钉固定的比较：系统评价和荟萃分析。
J Arthroplasty. 2018 Apr;33(4):1288-1295. doi: 10.1016/j.arth.2017.10.055. Epub 2017 Nov 8.
6
Induced membrane technique using beta-tricalcium phosphate for reconstruction of femoral and tibial segmental bone loss due to infection: technical tips and preliminary clinical results.使用β-磷酸三钙的诱导膜技术用于重建因感染导致的股骨和胫骨节段性骨缺损：技术要点及初步临床结果
Int Orthop. 2018 Jan;42(1):17-24. doi: 10.1007/s00264-017-3503-5. Epub 2017 May 24.
7
Masquelet technique: myth or reality? A systematic review and meta-analysis.马斯凯莱特技术：神话还是现实？一项系统评价与荟萃分析。
Injury. 2016 Dec;47 Suppl 6:S68-S76. doi: 10.1016/S0020-1383(16)30842-7.
8
Knee Arthrodesis After Failure of Knee Arthroplasty: A Nationwide Register-Based Study.膝关节置换失败后行膝关节融合术：一项基于全国登记处的研究。
J Bone Joint Surg Am. 2016 Aug 17;98(16):1370-7. doi: 10.2106/JBJS.15.01363.
9
The mechanism of action of induced membranes in bone repair.诱导膜在骨修复中的作用机制。
J Bone Joint Surg Am. 2013 Apr 3;95(7):597-604. doi: 10.2106/JBJS.L.00310.
10
Management of periprosthetic patellar fractures. A systematic review of literature.人工膝关节周围髌骨骨折的治疗：文献系统综述
Injury. 2007 Jun;38(6):714-24. doi: 10.1016/j.injury.2007.02.054. Epub 2007 May 2.