在患有先前关节融合的患者中,疼痛的骨突起
Richard A Zell1, Ananya Mehta2
1Upper Chesapeake Medical Center, University of Maryland, Bel Air, Maryland.
Foot & ankle specialist
|May 21, 2024
概括
一位患有先前关节融合的患者由于硬件冲击而经历了关节肌问题. 手术切除硬件和骨肌修复导致了良好的临床结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 脚重建 脚重建 脚重建
背景情况:
- 关节合并是一种手术程序,用于永久固定关节的关节.
- 足融合多年后可能会出现并发症,包括植入硬件的问题.
- 骨肌病理会导致侧脚疼痛和不稳定.
研究的目的:
- 报告一个骨肌脱和裂的病例,这是关节融合硬件的次要原因.
- 描述这种罕见并发症的手术管理和结果.
主要方法:
- 一份病例报告详细介绍了一名患有14岁脚合的患者.
- 手术发现包括骨肌的冲刺和与骨-onlay支架硬件相关的撕裂.
- 干预涉及去除硬件,骨缩和视网膜重建.
主要成果:
- 患者出现了持续的侧脚疼痛和不稳定,尽管保守的管理.
- 在手术内发现的结果显示,骨肌脱和骨支柱螺丝螺丝的冲击.
- 手术修复导致了良好的临床结果.
结论:
- 骨-安置支架的硬件冲击可能会在脚合并后的几年内导致骨肌并发症.
- 手术干预,包括硬件切除和肌修复,可以有效地解决这些问题.
- 这一案例凸显了在患有先前关节融合并出现复发关节疼痛的患者中考虑与硬件相关的并发症的重要性.
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