骨后部肌功能障碍 由于Syndesmotic固定使用非吸收性合按装置 足骨折-脱后:一个案例报告
Aysha Rajeev1, Saurav Krishnan2, George Koshy1
1Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Gateshead, GBR.
Cureus
|November 26, 2024
概括
在类风湿性关节炎患者中,脚骨折脱位的动态稳定可能会失败,导致扣迁移和并发症. 这一案例凸显了在炎症条件下与这种技术相关的风险.
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
- 放射学 放射学是一门学科.
背景情况:
- 脚骨折-脱位经常涉及综合性损伤.
- CT和MRI提供优越的综合性损伤检测比X射线图.
- 目前的治疗方法包括静态 (螺丝) 和动态 (接按) 稳定.
研究的目的:
- 为了呈现一个扣迁移的案例,在一个风湿性关节炎患者的脚骨折-脱位.
- 讨论在炎症关节病中动态稳定的潜在并发症.
主要方法:
- 一个63岁的女性患有类风湿性关节炎的病例报告.
- 骨骨折 - 脱位治疗与开放的减少和内部固定,包括一个扣装置.
- 术后监测并发症的情况.
主要成果:
- 患者出现了平面形变形.
- 观察到扣迁移到骨后.
- 综合症关节的退行性关节炎发生在术后.
结论:
- 使用扣进行动态稳定可能导致关节炎患者的装置迁移和肌损伤.
- 炎症条件可能会损害动态稳定装置的完整性.
- 对于具有综合性损伤的类风湿性关节炎患者,可能需要使用其他稳定方法或仔细选择患者.
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