在患有麻风的患者中,用于神经病关节病的膝关节整形术
Sakumo Kii1, Motoki Sonohata2, Masaaki Mawatari1
1Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan.
Modern rheumatology case reports
|October 20, 2023
概括
膝关节整形术 (TKA) 可以显著改善神经性关节病变的麻风患者的功能. 这项案例研究显示了积极的中期结果,表明TKA是仔细选择患者的可行选择.
科学领域:
- 整形外科手术 整形外科手术
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
背景情况:
- 麻风病通常导致神经病关节病,也称为Charcot关节.
- 关于多关节神经病关节病的麻风患者全膝关节整形术 (TKA) 结果的数据有限.
研究的目的:
- 报告结果并讨论TKA在患有麻风和多关节神经病关节病的患者的指示.
主要方法:
- 一名62岁的男性患者患有麻风和多关节性神经病关节病变,使用NexGen Legacy受约束状膝盖植入物进行了右TKA.
- 用美国膝关节协会得分 (AKSS) 评估膝关节功能和功能的临床结果.
主要成果:
- 手术后7年,该患者的AKSS得分显著改善,膝关节功能从30到99,功能从0到60.
- 患者在日常生活活动中经历了显著的改善.
结论:
- 在某些患有全身神经病关节病的麻风患者中,TKA可以实现良好的中期临床结果.
- 仔细考虑病症,准确评估和适当的植入物选择对于成功的TKA在这个患者群体中至关重要.
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