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在全膝关节整形术后发生骨肌破裂:一个案例报告
Arif Akkok1, John Sawires2, Asli Akkok3
1Orthopaedic Surgery, Lake Erie College of Osteopathic Medicine, Elmira, USA.
Cureus
|February 3, 2026
概括
在全膝关节整形术 (TKA) 后骨肌破裂可能很难在早期诊断. 阿基里斯肌全移植重建是这种罕见并发症的成功治疗选择.
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:
- 状肌破裂是膝盖全关节整形术 (TKA) 后的一种罕见但令人衰弱的并发症.
- 在早期的术后期,诊断可能是具有挑战性的,特别是保留功能和不起眼的初始成像.
- 延伸器机制的破坏导致显著的功能障碍.
研究的目的:
- 为了呈现TKA后骨肌破裂的延迟诊断病例.
- 为了突出阿基里斯肌整体移植重建在这种并发症中的有效性.
主要方法:
- 一个TKA后一个月的60岁女性病例报告,在跌倒后出现膝盖疼痛.
- 最初的评估包括体检和X射线图,随后的MRI证实骨肌破裂.
- 手术重建使用阿基里斯肌全移植进行.
主要成果:
- 磁共振成像证实了完全破裂的小腿肌.
- 患者通过阿基里斯肌全移植成功进行了手术重建.
- 患者忍受了手术没有并发症.
结论:
- 在近期TKA患者中,状肌破裂的延迟诊断是可能的.
- 在初级修复无法实现时,阿基里斯肌全移植重建是一种可行的和可靠的选择,用于破裂肌.
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