动态关节螺丝固定后的部脱:一种罕见的并发症
Safa Yousif1, Bharathkumar Balasubramanian2, Anastasios Nikolaides3
1Trauma and Orthopaedics, Royal Free Hospital, London, GBR.
Cureus
|March 9, 2026
概括
动态关节螺丝 (DHS) 固定后部脱是罕见的. 一个病例显示潜伏的深层感染是原因,强调在这种情况下需要排除感染.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 创伤管理 创伤管理
背景情况:
- 部脱是近端股骨骨折固定后的一种罕见并发症.
- 动态关节螺丝 (DHS) 固定是一种常见的手术程序,用于关节骨折.
- 创伤前脱和深层感染是最常见的原因.
研究的目的:
- 报告发生在DHS固定后六个月的部脱的病例.
- 为了调查部脱的病因在这个特定的情况下.
- 强调在术后部脱时考虑潜在感染的重要性.
主要方法:
- 一个病人的病例报告显示,DHS固定后的部疼痛和运动能力下降.
- 在手术期间采样用于微生物学分析,以识别致病生物.
- 手术管理包括除bridement和Girdlestone切除关节整形术.
- 根据培养结果,进行针对性的抗生素治疗.
主要成果:
- 潜在的深层感染被诊断为部脱的原因.
- 从深层组织样本中分离出了特定的细菌生物.
- 患者通过脱bridement,关节整形和抗生素成功管理.
结论:
- 潜在的深层感染可能会导致DHS固定后的部脱.
- 深层组织采样对于确认感染至关重要.
- 在DHS固定后创伤性关节脱的情况下,必须仔细排除感染.
相关概念视频
Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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...
Alterations in Muscle Tone ll
Alterations in muscle tone are common manifestations of neurological disorders and reflect dysfunction within different nervous system regions. Spasticity, paratonia, and dystonia represent distinct forms of hypertonia, each with unique mechanisms, clinical features, and diagnostic importance.CharacteristicsSpasticity happens from upper motor neuron lesions and is characterized by velocity-dependent resistance to passive movement. Clinical features include:Exaggerated deep tendon reflexesClonus...
Alterations in Muscle Tone lll
Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...
Cirrhosis I: Introduction
Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...


