切换至 "中华医学电子期刊资源库"

中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (01) : 127 -130. doi: 10.3877/cma.j.issn.1674-134X.2018.01.025

所属专题: 经典病例 文献

个案报道

伴有重度膝内翻畸形的双侧膝关节骨关节炎1例——骨科经典病例大赛个案报道
林禹丞1, 任可1, 陆军1,()   
  1. 1. 210009 南京,东南大学附属中大医院骨科
  • 收稿日期:2017-11-15 出版日期:2018-02-01
  • 通信作者: 陆军
  • 基金资助:
    江苏省自然科学基金(BK20161439); 国家自然科学基金(81673017)

Case report on bilateral knee arthritis with severe genu varum

Yuchen Lin1, Ke Ren1, Jun Lu1()   

  • Received:2017-11-15 Published:2018-02-01
  • Corresponding author: Jun Lu
引用本文:

林禹丞, 任可, 陆军. 伴有重度膝内翻畸形的双侧膝关节骨关节炎1例——骨科经典病例大赛个案报道[J]. 中华关节外科杂志(电子版), 2018, 12(01): 127-130.

Yuchen Lin, Ke Ren, Jun Lu. Case report on bilateral knee arthritis with severe genu varum[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(01): 127-130.

图1 患者双下肢外观。左图为患者下肢前方大体观,可见双膝关节肿胀,色素沉着,内翻畸形;右图为患者下肢后方大体观,可见双膝关节内翻畸形
图2 患者术前双膝关节X线片。图A、B 为患者右膝关节正侧位,可见右膝关节面骨赘增生,关节间隙狭窄;图C、D 为患者左膝关节正侧位,可见左膝关节面骨赘增生,关节间隙狭窄;图E 为患者下肢全长正位片,可见双膝关节严重内翻畸形;图F、G 分别为患者右下肢和左下肢全长侧位片,可见双膝关节轻度的屈曲畸形
图3 手术简要步骤图(以右下肢为例)。图A 打开膝关节腔;图B 切除内外侧半月板;图C 根据X线片所设计的截骨平面截骨;图D 切除股骨后髁骨赘;图E 胫骨平台后内侧角松解;图F 缩小胫骨平台截骨;图G 胫骨平台假体植入;图H 股骨假体植入;图I 安装衬垫
图4 患者术后双膝关节X线片。图A、B 为患者术后右膝关节正侧位片,可见假体位置满意;图C、D 为患者术后左膝关节正侧位片,可见假体位置满意;图E 为患者术后下肢全长正位片,可见双下肢膝内翻畸形已纠正,力线恢复
[1]
National and state medical expenditures and lost earnings attributable to arthritis and other rheumatic conditions--United States, 2003[J]. MMWR Morb Mortal Wkly Rep, 2007, 56(1): 4-7.
[2]
Leonard L,Williamson DM,Ivory JP, et al. An evaluation of the safety and efficacy of simultaneous bilateral total knee arthroplasty[J]. J Arthroplasty, 2003, 18(8): 972-978.
[3]
Barrett J,Baron JA,Losina E, et al. Bilateral total knee replacement: Staging and pulmonary embolism[J]. J Bone Joint Surg Am, 2006, 88A(10): 2146-2151.
[4]
Odum SM,Springer BD. In-hospital complication rates and associated factors after simultaneous bilateral versus unilateral total knee arthroplasty[J]. J Bone Joint Surg Am, 2014, 96(13): 1058-1065.
[5]
Li SM,Edelstein A,Thompson RM, et al. Perioperative outcomes following unilateral versus bilateral total knee arthroplasty[J]. J Arthroplasty, 2015, 30(11): 1927-1930.
[6]
戴金良,马健,王洪彬, 等. 同期与分期双侧全膝关节置换术的回顾性研究[J/CD]. 中华关节外科杂志(电子版), 2014, (6):723-725.
[7]
Odum SM,Troyer JL,Kelly MP, et al. A Cost-Utility analysis comparing the Cost-Effectiveness of simultaneous and staged bilateral total knee arthroplasty[J]. J Bone Joint Surg Am 2013, 95A(16): 1441-1449.
[8]
Bohm ER,Molodianovitsh K,Dragan A, et al. Outcomes of unilateral and bilateral total knee arthroplasty in 238, 373 patients[J]. Acta Orthop, 2016, 87 Suppl 1: 24-30.
[9]
Lee BS,Lee SJ,Kim JM, et al. No impact of severe varus deformity on clinical outcome after posterior stabilized total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2011, 19(6): 960-966.
No related articles found!
阅读次数
全文


摘要