采用关节成形术治疗神经性膝关节。

Treatment of the neuropathic knee by arthroplasty.

作者信息

Chong A, Bruce W, Goldberg J

机构信息

Repatriation General Hospital, Concord, New South Wales, Australia.

出版信息

Aust N Z J Surg. 1995 May;65(5):370-1. doi: 10.1111/j.1445-2197.1995.tb00662.x.

DOI:10.1111/j.1445-2197.1995.tb00662.x

PMID:7741687

Abstract

The neuropathic joint is one of the most difficult management problems in orthopaedic practice. The surgeon is often referred the patient late in the course of the disease, when there has been marked joint destruction so that non-operative measures are not suitable. We report a case of a severely deformed neuropathic knee joint, for which an uncemented total knee replacement was performed. The rationale for use of this procedure instead of arthrodesis, and discussion of the condition follow.

摘要

神经性关节病是骨科临床中最难处理的问题之一。外科医生常常在疾病晚期才接收此类患者，此时关节已出现明显破坏，因此非手术治疗措施并不适用。我们报告一例严重畸形的神经性膝关节病例，对此我们实施了非骨水泥型全膝关节置换术。以下是采用该手术而非关节融合术的理论依据以及对该病症的讨论。