[胫骨远端严重创伤后变形的踝关节置换术:病例报告]。

Q4 Medicine Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia2024011110
G P Kotelnikov, A V Kolsanov, A N Nikolaenko, V V Ivanov, D A Dolgushkin, A S Pankratov, D O Ogurtsov, S O Doroganov, A D Stroikova
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引用次数: 0

摘要

目的评估对一名胫骨远端严重创伤后变形的患者进行踝关节原型假体置换术的即时效果:在开发踝关节假体的原始设计时,我们考虑到了国外经典踝关节假体和翻修型踝关节假体的缺点。在这种情况下,我们采用了综合方法。为选择假体部件的材料,我们开展了大量工作。骨髓间充质基质细胞的实验工作旨在测试细胞毒性和生物兼容性。萨马拉国立医科大学仿生学和个性化医学研究所生物力学结构设计部的工作人员使用 Ansys 软件仔细研究了假体的设计方案。在对全尺寸模型进行尸体测试后,我们对一名左胫骨下三分之一严重创伤后畸形的患者进行了手术干预:我们的研究表明,术中安装原装踝关节假体既方便又有一定优势。结果:我们的研究显示了原装踝关节假体术中安装的便利性和某些优势,同时,该临床病例还显示了翻修踝关节置换术中必须考虑的一些特点,以避免术后可能出现的后果:结论:原装踝关节假体可以置换胫骨远端并保留肢体功能。
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[Ankle replacement for severe post-traumatic deformation of the distal tibia: a case report].

Objective: To evaluate the immediate results of ankle replacement with original prosthesis in a patient with severe post-traumatic deformation of the distal tibia.

Material and methods: When developing the original design of ankle prosthesis, we considered foreign analogues of classical and revision models of ankle prostheses taking into account their shortcomings. In this case, an integrated approach was used. Extensive work has been carried out to select materials for prosthetic components. Experimental work with mesenchymal stromal cells of bone marrow was aimed at testing cytotoxicity and biological compatibility. The staff of the department of designing biomechanical structures of the Research Institute of Bionics and Personalized Medicine of the Samara State Medical University carefully studied the proposed design of endoprosthesis using the Ansys software. After cadaver tests on full-scale models, we performed surgical intervention in a patient with severe post-traumatic deformity of the lower third of the left tibia.

Results: Our studies revealed convenience and certain advantages of intraoperative installation of original ankle prosthesis. Along with this, this clinical example indicated come features that must be taken into account in revision ankle replacement to avoid possible postoperative consequences.

Conclusion: Original ankle prosthesis makes it possible to replace the distal tibia and preserve limb function.

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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
期刊最新文献
[Endoscopic stenting for malignant pancreatobiliary strictures]. [Ankle replacement for severe post-traumatic deformation of the distal tibia: a case report]. [Comparative analysis of in-hospital and long-term results of patients with acute dysfunction of coronary bypass grafts depending on treatment tactics]. [Efficacy and safety of surgical treatment of patients with pathological tortuosity of the internal carotid artery]. [Endoscopic vacuum therapy in minimally invasive treatment of esophageal perforations].
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