在不成功的关节修复后进行全额部置换:一个案例报告
Alok Chandra Agrawal1, Harshal Sakale1, Nirmal Rathi1
1Department of Orthopaedics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Journal of orthopaedic case reports
|February 11, 2026
概括
股骨头的创伤性血管亡 (AVN) 是骨骨折后的一个常见并发症. 在这些复杂的病例中,救援性全关节置换 (THR) 可以在仔细的规划和执行下取得成功.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 重建性手术是一种重建性手术.
背景情况:
- 股骨头的创伤性血管亡 (AVN) 是骨骨折后的一个严重并发症,发生在20-40%的病例中.
- 骨骨折往往需要开放式减少和内部固定 (ORIF),但可能导致长期并发症,如AVN.
- 与初级THR相比,救援全关节置换 (THR) 提出了独特的手术挑战.
研究的目的:
- 报告一名年轻成年人的救援THR病例,该病例是由于骨骨折导致的股骨头AVN次要.
- 在创伤后AVN的背景下突出THR的外科考虑和结果.
主要方法:
- 一名26岁的男性患有骨骨折,接受了ORIF.
- 在ORIF后18个月内发展出股骨头AVN与骨边缘吸收,需要THR.
- THR是通过后部方法进行的,涉及硬件移除和无水泥组件的植入.
主要成果:
- 患者经历了一个不显著的恢复后,救 THR.
- 手术后观察到疼痛和部运动的显著改善.
- 使用无水泥元件的后方方法取得了成功.
结论:
- 在骨ORIF之后的救援THR是管理大腿骨头AVN的可行选择.
- 精心的手术前策略,适当的植入物选择和仔细的硬件移除对于成功的结果至关重要.
- 患有骨骨折的年轻人,特别是患有两柱损伤的年轻人,需要长期监测AVN的发展.
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