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阴性慢性脚不稳定:脚关节镜术的并发症:一个病例报告
Raquel Lima Cunha1, Alexandre Loureiro Castro1, Pedro Atilano Carvalho1,2,3
1Department of Orthopedics and Traumatology, Unidade local de saúde de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
JBJS case connector
|August 18, 2025
概括
脚关节镜术的一个罕见并发症是由于带缺失而导致的慢性脚不稳定. 使用Gracilis肌移植进行关节镜重建,有效地恢复了患有这种疾病的患者的稳定性和功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 人体解剖学 解剖学 解剖学
背景情况:
- 慢性脚不稳定可能是由于带损伤造成的.
- 脚关节镜术虽然很常见,但会带来风险,包括有毒性损伤.
- 侧脚带完全缺失是一种罕见但显著的并发症.
研究的目的:
- 报告一个罕见的 iatrogenic 慢性脚不稳定性脚关节镜术后的病例.
- 为了证明在缺乏本地带的情况下,关节镜侧带重建的疗效.
主要方法:
- 一名37岁的男性患者完全缺失了前面的状关节和状关节带.
- 磁共振成像证实了带缺失.
- 关节镜侧带重建使用gracilis肌自移植进行.
主要成果:
- 患者在术后12个月内取得了很好的结果.
- 脚的稳定性得到恢复,患者变得无痛.
- 在重建后,正常的功能评分得到了实现.
结论:
- 这一案例强调了关节关节镜术期间手术精度的重要性,以防止并发症.
- 创血性慢性脚不稳定是一种罕见的并发症,需要专门治疗.
- 用自体移植进行关节带重建是当本地带缺失时,慢性脚不稳定的有效治疗方法.
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