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在全膝关节整形术中,孤立的侧侧膝关节疼痛. 一个审查审查
Naga Suresh Cheppalli1, Prabhudev Prasad Purudappa2, Ryan Price3
1Orthopedics VA Medical Center Albuquerque.
Orthopedic reviews
|March 20, 2024
概括
在全膝关节整形术 (TKA) 后孤立的侧膝关节疼痛有各种原因. 诊断包括成像和超声导向注射,治疗范围从保守措施到手术.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 隔离侧侧膝关节疼痛是膝关节全关节整形术 (TKA) 后的一种已知的并发症.
- 存在多种病因,包括软组织撞击,部件错位,以及特定的关节塑造设计,如引导运动双十字稳定膝关节关节塑造,导致 iliotibial带引综合征.
研究的目的:
- 审查TKA后侧侧膝关节疼痛的差异诊断.
- 概述这种特定并发症的诊断工作和治疗策略.
主要方法:
- 对TKA后侧膝疼痛的原因,诊断和管理的文献综述.
- 讨论成像方式 (X光,CT,超声波) 和诊断注射.
- 保守和外科手术治疗选择的概述.
主要成果:
- 常见的原因包括水泥挤出,部托盘悬浮,骨质细胞,状肌撞击,状综合征和突撞击.
- 以导向麻醉剂注射的超声波可以准确诊断疼痛源.
- 带引综合征是一种新认可的实体.
结论:
- 系统的方法对于诊断TKA后侧膝痛至关重要,首先是排除常见的TKA失败.
- 超声波导向注射是有价值的诊断工具.
- 有针对性的治疗,包括保守的治疗或特定的外科干预,可以缓解症状并避免TKA的修订.
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