在患有腎病的病人身上,同時發生的脊髓裂和對側四旋曲的趨勢
Fabio Rodrigo Toccolini Branco1, Wallysson Arraes Gonçalves1
1Universidade Estadual do Oeste do Parana, Faculdade de Medicina, Hospital Universitario do Oeste do Parana, Serviço de Residencia de Ortopedia e Traumatologia, Cascavel, PR, Brazil.
Acta ortopedica brasileira
|August 7, 2023
概括
这份病例报告详细介绍了慢性功能衰竭患者骨和四头肌肌的罕见同时破裂. 使用横骨道和克拉科夫技术的手术修复产生了良好的功能结果.
科学领域:
- 整形外科 整形外科 整形外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 创伤外科 手术 创伤外科
背景情况:
- 同时发生骨和四头肌破裂非常罕见,特别是在慢性功能衰竭患者中.
- 系统性疾病,如湿,风湿和内分泌疾病,可以使个体容易发生自发肌破裂.
- 慢性功能衰竭,通常与诸如阴等疾病有关,可能会增加肌病理的风险.
研究的目的:
- 在慢性功能衰竭的患者中报告一次单一的双边骨和四头肌同时破裂的病例.
- 为了突出这一罕见的骨科紧急情况的挑战和成功管理.
- 在慢性病的背景下对肌破裂的有限文献做出贡献.
主要方法:
- 一个39岁的妇女的病例报告,患有慢性功能衰竭二次性到黄昏症.
- 数据收集涉及患者采访,直接观察和医学检查.
- 手术修复采用穿骨道和Krackow技术,使用不可吸收的 sutures,并加入半状肌移植以加强.
主要成果:
- 在成功的手术中修复了骨和侧骨四头肌.
- 手术技术涉及透骨道和Krackow方法,使用不可吸收的 sutures.
- 为了加强修复,采用了一种半状肌自移植.
结论:
- 患者经过手术干预后在两条膝盖上表现出良好的功能恢复.
- 这一案例强调了慢性功能衰竭患者同时发生双侧肌破裂的可能性.
- 有效的手术管理甚至在复杂的病例中也可以带来有利的功能结果.
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