在全膝关节整形手术期间,肌内针移动的一个不寻常的并发症 - 一个案例报告
Sanjay Bhalchandra Londhe1, Ravi Vinod Shah2, Paras Banka1
1Departamento de Ortopedia, Holy Spirit Hospital, Mumbai, Maharashtra, Índia.
Revista brasileira de ortopedia
|July 19, 2024
概括
在全膝关节整形术 (TKA) 期间出现了一种不寻常的并发症,涉及一根内针迁移到大腿管道. 这一案例凸显了需要专门的工具来管理这种罕见的手术内TKA事件.
科学领域:
- 整形外科手术 整形外科手术
- 手术并发症 手术并发症
- 关节质整术是指关节质整术.
背景情况:
- 全膝关节整形术 (TKA) 有效治疗末期关节炎.
- 术内TKA并发症可能包括骨折,软组织损伤和神经血管问题.
研究的目的:
- 描述TKA期间内针移动的不常见并发症.
- 提出一种新的方法来检索迁移的骨髓内针.
主要方法:
- 一个72岁的男性患者的病例报告,接受了TKA.
- 在仪器仪表过程中无意中插入到大腿管道的内针的描述.
- 在光镜下使用腹腔镜抓取器用于引针检索.
主要成果:
- 标准的骨科仪器在去除迁移的针头方面没有效果.
- 在光镜指导下,使用超长的腹腔镜抓手成功地检索了内针.
结论:
- 骨髓内针移动是TKA中罕见但潜在的手术内并发症.
- 专门的仪器,如腹腔镜抓手,可能是必要的管理这些不寻常的TKA并发症.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
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...
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...


