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中华关节外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (02) : 257 -260. doi: 10.3877/cma.j.issn.1674-134X.2026.02.017

个案报道

全膝关节置换术后胫股关节前脱位1例
何子煜1, 张小颖2, 庄腾丰1, 黄嘉伟1, 肖威威1, 张还添1,()   
  1. 1 510630 广州,暨南大学附属第一医院骨关节科
    2 510630 广州,暨南大学附属第一医院麻醉手术中心
  • 收稿日期:2025-08-28 出版日期:2026-04-01
  • 通信作者: 张还添
  • 基金资助:
    广东省自然科学基金-杰出青年项目(2023B1515020007); 广州市科技计划科技菁英“领航”项目(2024A04J6408); 澳门特别行政区科学技术发展基金创新科研计划项目(0008/2024/RIA1); 国家自然科学基金区域创新发展联合基金集成项目(U24A6013); 深圳市医学研究专项(B2502029)
  • Received:2025-08-28 Published:2026-04-01
引用本文:

何子煜, 张小颖, 庄腾丰, 黄嘉伟, 肖威威, 张还添. 全膝关节置换术后胫股关节前脱位1例[J/OL]. 中华关节外科杂志(电子版), 2026, 20(02): 257-260.

图1 TKA(全膝关节置换)术后胫股关节脱位的类型分布
图2 初次TKA(全膝关节置换)术前左膝关节正侧位X线片,示左膝关节退行性变,左膝内翻畸形
图3 初次TKA(全膝关节置换)术后膝关节X线片,示假体位置满意。图A为站立位双下肢全长正位片;图B为左膝关节正侧位片
图4 摔伤后急诊复查左膝关节正侧位X线片,示胫股关节前脱位
图5 急诊手法复位
图6 手法复位及更换衬垫后复查左膝关节X线片。图A为复位后左膝关节正侧位X线片,示假体无松动;图B为更换衬垫后左膝关节正侧位X线片,示假体稳定
[1]
Healy WL, Della Valle CJ, Iorio R, et al. Complications of total knee arthroplasty: standardized list and definitions of the Knee Society[J]. Clin Orthop Relat Res, 2013, 471(1): 215-220.
[2]
Rouquette L, Erivan R, Pereira B, et al. Tibiofemoral dislocation after primary total knee arthroplasty: a systematic review[J]. Int Orthop, 2019, 43(7): 1599-1609.
[3]
Galanis A, Papagrigorakis E, Vavourakis M, et al. Tibiofemoral dislocation after total knee arthroplasty treated successfully with an external fixation device[J/OL]. J Surg Case Rep, 2023, 2023(2): rjad063. DOI: 10.1093/jscr/rjad063.
[4]
郭艳波, 马亮, 李刚, 等. 全膝关节置换术后胫股关节脱位的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(5): 658-671.
[5]
Mozaffar M, Sadighi M, Sabaghzadeh A, et al. Catastrophic case of the total knee arthroplasty dislocation: a case report[J/OL]. Int J Surg Case Rep, 2024, 121: 109925. DOI: 10.1016/j.ijscr.2024.109925.
[6]
Conti A, Camarda L, Mannino S, et al. Anterior dislocation in a total knee arthroplasty: a case report and literature review[J]. J Orthop, 2015, 12: S130-S132.
[7]
Almoguera-Martinez A, Godinho-Soares C, Calcedo Bernal V, et al. Anterior tibiofemoral dislocation after total knee arthroplasty: a case report and literature review[J]. Chin J Traumatol, 2022, 25(4): 237-241.
[8]
Novotny T, Vanaskova E, Soukup J. Rare case of traumatic anterior knee dislocation of total knee arthroplasty with a serious neurovascular injury[J]. Arthroplast Today, 2021, 10: 171-174.
[9]
Cottino U, Sculco PK, Sierra RJ, et al. Instability after total knee arthroplasty[J]. Orthop Clin North Am, 2016, 47(2): 311-316.
[10]
Jethanandani RG, Maloney WJ, Huddleston JI 3rd, et al. Tibiofemoral dislocation after total knee arthroplasty[J]. J Arthroplasty, 2016, 31(10): 2282-2285.
[11]
Aderinto J, Gross AW, Rittenhouse B. Non-traumatic anterior dislocation of a total knee replacement associated with neurovascular injury[J]. Ann R Coll Surg Engl, 2009, 91(8): 658-659.
[12]
Ross JP, Brown NM, Levine BR. Chronic knee dislocation after total knee arthroplasty[J/OL]. Orthopedics, 2015, 38(12): e1155-9. DOI: 10.3928/01477447-20151123-07.
[13]
Lee SC, Jung KA, Nam CH, et al. Anterior dislocation after a posterior stabilized total knee arthroplasty[J]. J Arthroplasty, 2012, 27(2): 324.e17-324.e20.
[14]
Galinat BJ, Vernace JV, Booth RE Jr, et al. Dislocation of the posterior stabilized total knee arthroplasty. A report of two cases[J]. J Arthroplasty, 1988, 3(4): 363-367.
[15]
Bargren JH. Total knee dislocation due to rotatory malalignment of tibial component: a case report[J]. Clin Orthop Relat Res, 1980(147): 271-274.
[16]
Addevico F, Nucci AM, Rosati M, et al. Traumatic anterior dislocation of a prosthetic knee, from trauma to delayed onset of vascular injury[J]. Arthroplasty Today, 2018, 4(4): 407-410.
[17]
Ahn RS, Brown MJ, Santilli MD. Traumatic anterior knee dislocation after total knee arthroplasty[J]. Arthroplasty Today, 2016, 2(3): 97-99.
[18]
Sonkusale A, Kishore Kondreddy V, Patel K. Challenges in a neglected case of traumatic anterior dislocation after total knee replacement: a case report[J/OL]. J Clin Orthop Trauma, 2025, 68: 103073. DOI: 10.1016/j.jcot.2025.103073.
[19]
Dagneaux L, Limberg AK, Owen AR, et al. Knee immobilization reproduces key arthrofibrotic phenotypes in mice[J]. Bone Joint Res, 2023, 12(1): 58-71.
[20]
Lau LCM, Chui ECS, Man GCW, et al. A novel image-based machine learning model with superior accuracy and predictability for knee arthroplasty loosening detection and clinical decision making[J]. J Orthop Translat, 2022, 36: 177-183.
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