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在受感染的远端股骨重建中进行短间隔全股骨置换

Danil Chernov¹, Nicholas Frappa¹, Morgan Dillon¹

¹Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 955 Main St. Buffalo, NY 14203, United States.

Journal of surgical case reports

|March 9, 2026

概括

一项新的两阶段修复手术成功治疗了患有远端股骨置换 (DFR) 患者的慢性感染和骨损失. 这种简化方法实现了感染控制和肢体功能,为复杂病例提供了希望.

科学领域:

整形外科手术整形外科手术
在瘤学瘤学.
传染性疾病传染性疾病

背景情况:

远骨肉瘤需要复杂的治疗,通常涉及关节置换.
周围假肢关节感染和骨损失在远端股骨置换 (DFR) 后带来了重大的重建挑战.
之前的修订可能会使感染和骨损失的管理复杂化.

研究的目的:

为了描述肢体救援的新,缩短的两阶段修订策略.
为了解决慢性感染和广泛的近端大腿骨损失在一个DFR患者.
评估这种方法在管理复杂的周围假肢感染中的有效性.

主要方法:

一名61岁的妇女在病史中患有远骨肉瘤和多次DFR修订.
进行了短时间间隔的两阶段修复:用定制抗生素加载的全股骨间隔器切除近端股骨,然后在一周后进行最终的全股骨置换.
手术方法侧重于感染控制和骨重建.

主要成果:

缩短的两阶段修订成功控制了慢性感染.
一个功能性四肢被保留了,骨库得到了显著的恢复.
早期的随访表明了感染和肢体救援的积极结果.

结论:

缩短的两阶段修订是复杂的骨周假肢感染与广泛的骨损失的四肢救援的可行选择.
这种方法可以有效地管理涉及DFR和慢性感染的具有挑战性的病例.
描述的技术为高风险患者的四肢功能保护提供了一个有希望的解决方案.

关键词:

远距离的股骨骨头.骨质肉瘤是骨质肉瘤的一种疾病.周围假肢关节感染替代品替代品替代品替代品短期间隔的修订修订.整体股骨置换整体股骨置换

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