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中华关节外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 127 -130. doi: 10.3877/cma.j.issn.1674-134X.2025.01.019

所属专题: 经典病例

个案报道

有限翻修治疗手术失误致膝关节伸膝障碍1例
鲍哲明1,2, 徐明1, 付志厚1, 翟凯1, 吴波1, 于秀淳1,()   
  1. 1. 250031 济南,解放军联勤保障部队第九六〇医院骨病科
    2. 250355 济南,山东中医药大学第一临床医学院
  • 收稿日期:2024-02-27 出版日期:2025-02-01
  • 通信作者: 于秀淳
  • 基金资助:
    中国博士后科学基金(2013M532177)

Case report on limited revision for knee extension disorder caused by surgical error

Zheming Bao, Ming Xu, Zhihou Fu, Kai Zhai, Bo Wu, Xiuchun Yu()   

  • Received:2024-02-27 Published:2025-02-01
  • Corresponding author: Xiuchun Yu
引用本文:

鲍哲明, 徐明, 付志厚, 翟凯, 吴波, 于秀淳. 有限翻修治疗手术失误致膝关节伸膝障碍1例[J/OL]. 中华关节外科杂志(电子版), 2025, 19(01): 127-130.

Zheming Bao, Ming Xu, Zhihou Fu, Kai Zhai, Bo Wu, Xiuchun Yu. Case report on limited revision for knee extension disorder caused by surgical error[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(01): 127-130.

图1 术前右膝关节X 线片。图A 为右膝关节正位片,示髌骨向外侧脱位,股骨髁假体及旋转铰链轴投影不对称;图B 为右膝关节外旋15°位片,示股骨髁假体套件及旋转铰链轴投影左右对称;图C 为右膝髌骨轴位片,示髌骨脱位,不在股骨假体滑车槽内;图D 为右膝关节侧位片,示LT(髌腱长度)为7.7 cm,LP(髌骨长度)4.6 cm,股骨髓内针与股骨髓腔轴线夹角α 为1.44°,胫骨后倾角β 为88°;图E 为右下肢全长正位片,右股骨长度RA 为47.5 cm,右下肢长度RB 为83.5 cm,左股骨长度LA 为45.3 cm,左下肢长度LB 为81.5 cm;股骨远端外侧角γ 为86.5°,胫骨近端内侧角δ 为89.5°
图2 假体设计及术后膝关节X 光。图A 定制股骨髁袖套20°外旋,短缩15 mm 翻修假体;图B 定制股骨髁袖套假体方案及参数;图C 为术后下肢全长正位片,右股骨长度RA:46.2 cm,右下肢长度RB:82.2 cm,左股骨长度LA:45.8 cm,左下肢长度LB:81.7 cm
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