Arthroscopic observation was useful to detect loosening of the femoral component of unicompartmental knee arthroplasty in a recurrent hemoarthrosis.

Kotaro Yamakado, Hitoshi Arakawa, Seigaku Hayashi
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引用次数: 3

Abstract

A case of recurrent hemarthrosis of the knee after a mobile-bearing unicompartmental knee arthroplasty (UKA; Oxford UKA) is described. A 58-year-old man met with a road traffic accident 10 months after UKA. He developed anteromedial pain and hemarthrosis of the knee joint 1 month after the accident, which required multiple aspirations. Physical examination showed no instability. Plain radiograph revealed no signs of loosening. All laboratory data, including bleeding and coagulation times, were within normal limits. Diagnostic arthroscopy demonstrated loosening of the femoral component. Any intraarticular pathology other than nonspecific synovitis was ruled out. The loose femoral component and polyethylene meniscal bearing were revised. Since then, hemarthrosis has not recurred.

Abstract Image

关节镜观察是有用的,以检测松动的单室膝关节置换术在复发性血关节。
单腔膝关节置换术(UKA;牛津UKA)的描述。一名58岁的男子在UKA后10个月遭遇了交通事故。事故发生1个月后,患者出现前内侧疼痛和膝关节积血,需要多次穿刺。体格检查未见不稳定。x线平片未见松动迹象。所有实验室数据,包括出血和凝血时间,均在正常范围内。诊断性关节镜检查显示股骨假体松动。除非特异性滑膜炎外,任何关节内病理均被排除。对股骨松动假体和聚乙烯半月板轴承进行了修正。从那时起,踝关节积血再也没有复发。
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