在通过直接前方方法进行的全关节整形术后,广泛的皮肤亡
Nimatullah Idris1, Matthieu Zingg1, Morgan Gauthier1
1Department of Orthopaedic Surgery, Geneva University Hospitals & Faculty of Medicine, Avenue Gabrielle Perret Gentil 4, Geneva, 1205, Switzerland.
BMC musculoskeletal disorders
|June 23, 2023
概括
在全关节整形术 (THA) 后与周关节多式药物透 (PAI) 进行广泛的皮肤亡是一种罕见的并发症. 这一案例凸显了与PAI相关的潜在风险,即使没有深层关节感染.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 手术并发症 手术并发症
背景情况:
- 全关节整形术 (THA) 显著改善了患者的流动性和生活质量.
- 周关节多式药物透 (PAI) 是THA后常见的止痛技术,减少了阿片类药物的使用.
- 广泛的皮肤亡是一种不常见的THA与PAI的并发症.
研究的目的:
- 报告一个罕见的术后广泛的皮肤亡病例,该病例是在PAI与THA后发生的.
- 讨论这种并发症的潜在风险因素和治疗选择.
- 突出成功的手术管理和长期结果.
主要方法:
- 一名71岁的患者通过直接前置方法接受了THA.
- 术后,患者在切口部位发生了广泛的皮肤亡.
- 进行了手术脱皮,然后用脚踏式前侧大腿进行了重建.
主要成果:
- 深部关节感染被排除为死的原因.
- 重建的组织缺陷在1年的随访中显示出令人满意的外观.
- 患者经历了无疼痛的部,恢复了运动范围和不受阻碍的行走.
结论:
- 在THA与PAI后可能会发生广泛的皮肤亡,需要仔细考虑风险因素.
- 在PAI中使用上腺素可能是导致这种并发症的一个因素.
- 使用局部片进行手术重建可以获得有利的功能和美学结果.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
Burn Injuries
2.6K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.6K


