与全膝关节置换术无菌松动和聚乙烯磨损有关的滑膜瘘

IF 1.5 Q3 ORTHOPEDICS Arthroplasty Today Pub Date : 2024-10-12 DOI:10.1016/j.artd.2024.101447

Saul Hernandez-Rodriguez MD, FAAOS, Liannette Padilla-Martinez MLS, MD

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引用次数: 0

摘要

膝关节滑膜瘘发生于关节囊缺损时，皮肤、滑囊和附近组织之间产生连接，表现为开口并不断引流液体或囊肿。这是一例 80 岁男性患者的病例，他在初次全膝关节置换术后 6 年出现滑膜瘘并伴有囊肿。处理方法包括进行全膝关节置换翻修手术，术中用亚甲蓝对瘘管进行鉴定，并使用明胶-凝血酶原基质进行闭合。本病例显示了灾难性聚乙烯插入物磨损和处理可能造成的并发症。

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Synovial Fistula Associated With Total Knee Replacement Aseptic Loosening and Polyethylene Wear

Synovial fistula of the knee occurs when a defect in the joint capsule creates a connection between skin, bursa, and a near tissue, manifesting as an opening with continuous draining fluid or a cyst. This is a case of an 80-year-old male who developed a synovial fistula with cystic presentation 6 years after the primary total knee arthroplasty. Management included a total knee arthroplasty revision surgery with intraoperative identification of the fistula with methylene blue, and using a gelatin-thrombin matrix for closure. This case shows a possible complication of catastrophic polyethylene insert wear and management.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.