皮肤转位反转皮瓣治疗髋关节置换术后症状性皮下粗隆或软组织缺损:技术说明

IF 0.2 Q4 ORTHOPEDICS Techniques in Orthopaedics Pub Date : 2022-05-17 DOI:10.1097/BTO.0000000000000591
Jonas Liebe, Aude Lehnen, A. Jandali, C. Meier, P. Wahl
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引用次数: 0

摘要

导言:高达17%的全髋关节置换术(THA)患者患有大转子或外侧转子疼痛。皮下软组织或粗隆骨质缺损与下干突出可能是具有挑战性的原因。手术技术:我们介绍了一种去上皮化的皮肤转位倒置皮瓣覆盖皮下植入物突出的手术技术,成功地治疗了一位股骨粗隆骨折内固定失败后THA术后创伤后股骨粗隆缺损的患者。结果与结论:患者转子疼痛消失,行走、坐下、睡觉均无疼痛。在平静愈合的皮肤下,THA突出不再可触及。所描述的技术相对简单,可能有助于改善症状性粗隆骨或软组织缺损患者的治疗。证据等级:四级,特殊技术文章。
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A Cutaneous Transposition Inversion Flap to Treat Symptomatic Subcutaneous Trochanteric or Soft Tissue Defects After Hip Arthroplasty: A Technical Note
Introduction: Up to 17% of patients with total hip arthroplasty (THA) suffer from greater trochanteric or lateral trochanteric pain. Subcutaneous soft tissue or trochanteric bone substance defects with protrusion of the underlying stem may be challenging causes. Surgical Technique: We present the surgical technique of a de-epithelialized cutaneous transposition inversion flap to cover subcutaneous implant protrusion, performed successfully in a patient with posttraumatic trochanteric defect following THA after failed internal fixation for a trochanteric fracture. Results and Conclusion: The patient had no more trochanteric pain, allowing her to walk, sit, and sleep without pain. The THA protrusion was no longer palpable under the uneventfully healed skin. The technique described is relatively simple and may help improve therapy in patients with symptomatic trochanteric bone or soft tissue defects. Level of Evidence: Level IV, Special technical article.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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