42岁类风湿关节炎患者膝关节置换术后严重股四头肌异位骨化1例

Q4 Medicine Clinical Osteology Pub Date : 2022-12-07 DOI:10.3390/osteology2040019
M. Massaro, F. Mela, R. Espósito, Emanuele Maiorano, Guy Laskow
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引用次数: 0

摘要

背景:膝关节异位骨化(HO)最常见于股四头肌扩张时股骨远端前部。虽然大尺寸严重HO影响膝关节并导致严重后果的发生率极低,但这些病例极难预防,对患者具有严重的临床局限性。目的:本研究的目的是探讨全膝关节置换术(TKA)后HO的形成。结论:对TKA后HO形成风险的患者进行分层和更好地了解术后治疗的基本作用是至关重要的。对于严重的HO,应在适当的调查后考虑手术,并且只有在HO完全成熟时才应考虑手术。与全髋关节置换术(THA)相比,全髋关节置换术后HO形成的频率较低且未被充分研究。因此,需要进一步的研究。本病例报告可以代表TKA后临床相关的膝关节HO的治疗方案。
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Severe Quadriceps Heterotopic Ossification after Knee Revision Arthroplasty in a 42-Year-Old Suffering from Rheumatoid Arthritis: A Case Report
Background: Heterotopic Ossification (HO) of the knee is most commonly formed anteriorly to the distal femoral shaft in the quadriceps expansion. Although the incidence of severe HO with large dimensions affecting the knee and resulting in severe consequences is extremely rare, these cases are extremely difficult to prevent and have severe clinical limitations for the patient. Aim: The purpose of this study was to present and explore HO formation after Total Knee Arthroplasty (TKA). Conclusions: It is crucial to perform a stratification of patients for the risk of HO formation after TKA and to gain a better understanding of the fundamental role of post-operative treatments. In severe HO, surgery should be considered following appropriate investigations and should only be considered when the HO has fully matured. In comparison to Total Hip Arthroplasty (THA), HO formation after TKA is less frequent and underexplored. Therefore, further studies are required. This case report can represent a protocol for the treatment of clinically relevant HO in the knee after TKA.
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Clinical Osteology
Clinical Osteology Medicine-Endocrinology, Diabetes and Metabolism
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