International Journal of Surgery Case Reports最新文献

{"title":"Brachial plexopathy and intradural cord compression caused by malignant peripheral nerve sheath tumor a case report and literature review","authors":"Ahmad Alelaumi ,&nbsp;Almu'Atasim Khamees ,&nbsp;Mohammad Alfawareh ,&nbsp;Osama Khalil ,&nbsp;Anas Zahran","doi":"10.1016/j.ijscr.2024.110610","DOIUrl":"10.1016/j.ijscr.2024.110610","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Diagnosing brachial plexopathy in cancer patients who have undergone treatment and are being monitored presents a significant difficulty due to the potential involvement of multiple factors, including tumor recurrence causing compression or infiltration, recurrent metastasis, or the effects of radiation therapy. Malignant peripheral nerve sheath tumors (MPNSTs) have the potential to impact the brachial plexus, resulting in brachial plexopathy. Misdiagnosis can lead to catastrophic outcomes.</div></div><div><h3>Case presentation</h3><div>A 29-year-old female patient, who had a previous history of nasopharyngeal carcinoma, exhibited symptoms consistent with brachial plexopathy. The primary diagnoses for the cause were tumor metastatic recurrence and radiation-induced brachial plexopathy. Following an evaluation, recurrence appeared to be the most probable diagnosis. The mass had infiltrated along the brachial plexus, resulting in an intradural mass that led to cord compression. The final pathology report confirmed that the original pathology was malignant peripheral nerve sheath tumor (MPNST).</div></div><div><h3>Clinical discussion</h3><div>Understanding the underlying causes of brachial plexopathy is crucial for accurate diagnosis, particularly in cancer patients and those with a history of radiotherapy, as these individuals may present with complex or atypical symptoms that can complicate the diagnostic process. In such cases, distinguishing between tumor-related brachial plexopathy, radiation-induced nerve damage, and other potential etiologies is essential for guiding appropriate treatment strategies and improving patient outcomes.</div></div><div><h3>Conclusions</h3><div>Comprehensive and prompt evaluation is crucial in cases of brachial plexopathy with a history of cancer, aiming to prevent misdiagnosis and minimize complications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"Article 110610"},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of monostotic Melorheostosis of right ulna presenting with chronic forearm pain - Case report","authors":"Thinley Ugyen,&nbsp;Letho Letho","doi":"10.1016/j.ijscr.2024.110603","DOIUrl":"10.1016/j.ijscr.2024.110603","url":null,"abstract":"<div><h3>Introduction</h3><div>Melorheostosis is extremely rare non-cancerous lesion of bone mainly affecting the long bones and soft tissues. The incidence is 0.9 per million population. It affects male and female equally and reported among children and early adulthood. Common symptoms include pain, deformity and restricted range of movement of affected joint.</div></div><div><h3>Case presentation</h3><div>A 28-year-old female presented with pain at right forearm for nine months. The pain was of insidious onset and progressive in nature with severity of VAS 7/10. On examination, no gross deformity of right forearm was noted, no tenderness along the bones and range of movement of right elbow and wrist joints were within normal limit. Radiograph of right forearm revealed sclerosis of entire right ulna with dripping candle wax appearance with bowing deformity of ulna. She underwent osteoplasty of right ulna and biopsy. Oral bisphosphonate was started.</div></div><div><h3>Discussion</h3><div>Due to the rarity of the condition, there is still no standard guideline of the treatment of Melorheostosis, the widely practiced mode of treatment is symptomatic with analgesics, contracture release and deformity correction in extreme cases. If the diagnosis is doubtful it is important to rule out other sinister causes such as infection and malignancy. Biopsy is indicated only to confirm diagnosis.</div></div><div><h3>Conclusion</h3><div>Early diagnosis of Melorheostosis still remains challenge due to paucity of the condition. Melorheostosis should be included in one of the differential diagnosis of any hypersclerotic conditions of bone.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"Article 110603"},"PeriodicalIF":0.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case series on parathyroid carcinoma: Diagnostic challenges and therapeutic approaches.","authors":"Nathaniel Grabill, Mena Louis, Nikita Machado, Pierpont Brown, Ezra Ellis, Sumi So","doi":"10.1016/j.ijscr.2024.110601","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110601","url":null,"abstract":"<p><strong>Introduction: </strong>Parathyroid carcinoma is an exceptionally rare endocrine malignancy, constituting <1 % of primary hyperparathyroidism (PHPT) cases. It presents with more severe hypercalcemia and higher PTH levels than benign parathyroid diseases, requiring increased clinical awareness for accurate identification and specialized management. The results of this case series may provide insight into the clinical presentation, diagnostic workup, surgical management, and prognosis of parathyroid carcinoma, supplemented by a comprehensive review of current diagnostic and therapeutic approaches.</p><p><strong>Methods: </strong>We retrospectively reviewed three cases of parathyroid carcinoma treated at a tertiary referral hospital. We analyzed patient demographics, clinical presentation, imaging studies, surgical interventions, histopathological findings, and follow-up data. We emphasized intraoperative decisions, criteria for achieving sustained hormonal control, and long-term monitoring protocols.</p><p><strong>Results: </strong>Patient 1: An 84-year-old male patient presented with severe hypercalcemia and elevated PTH levels. Preoperative imaging, including 4D CT and sestamibi scan, identified a 3.7 cm, 9.32-gram parathyroid mass, which was surgically resected. Despite removing the mass and normalizing calcium levels, PTH levels remained elevated, suggesting residual disease. Patient 2: A 77-year-old male patient with osteoporosis and a history of kidney stones underwent presurgical parathyroid scintigraphy, which indicated a right superior parathyroid adenoma. A 3 cm, 3.55-gram parathyroid carcinoma was successfully removed, normalizing calcium and PTH levels. Follow-up imaging and labs confirmed no recurrence. Patient 3: A 61-year-old female patient with end-stage renal disease presented with a 5 cm hypervascular neck mass. Preoperative 4D CT and ultrasound suggested an adenoma. After surgery, PTH levels normalized, but the patient died five years later from an unrelated stroke.</p><p><strong>Conclusion: </strong>Parathyroid carcinoma is a rare malignancy that demands thorough diagnostic procedures, imaging techniques, precise surgical intervention, and vigilant long-term follow-up to manage the risk of recurrence. Elevated PTH and calcium levels should raise suspicion of malignancy, especially in severe hypercalcemia. This case series illustrates how the disease can present variably, with unique challenges in each patient. Despite the limitations of current adjuvant therapies, advancements in genetic and molecular research hold promise for future therapeutic options.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110601"},"PeriodicalIF":0.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case report: - A case report on adult-onset cystic hygroma and literature review","authors":"Hailemariam Kassaye Alebie ,&nbsp;Mezigebu Yaregal Hailu,&nbsp;Melat Teklegiorgis Biru,&nbsp;Abebe Borsamo Faliso,&nbsp;Tekalign Legese Gebere","doi":"10.1016/j.ijscr.2024.110595","DOIUrl":"10.1016/j.ijscr.2024.110595","url":null,"abstract":"<div><h3>Introduction</h3><div>Cystic hygromas are benign lesions arising due to an abnormality of lymphoid development and rarely present in adults.</div></div><div><h3>Case presentation</h3><div>We present a case of a 25-year-old girl who presented with a complaint of left lateral neck swelling of 06 years duration which was painless and increased in size progressively associated with this she had some difficulty turning her neck to the left side of a year duration. On physical examination, it was noticed that she had a 15 ∗ 12 cm soft, non-tender mass over the left lateral neck from the sub-mandibular area to the supraclavicular area, anterior and posterior to the sternocleidomastoid muscle. She was investigated with Complete blood count, neck ultrasound, and head and neck CT scan with contrast. With a diagnosed Cystic hygroma she was managed through elective surgical excision and the histopathology report suggestive of lymphatic malformation. The work has been reported in line with the SCARE criteria.</div></div><div><h3>Clinical discussion</h3><div>Cystic hygroma is a lymphatic malformation that occurs as a result of sequestration or obstruction of developing lymph vessels. It can either be congenital or acquired which commonly occur in the head and neck region. Symptoms and presentation consist of swelling and cystic growths, impact on adjacent organs and structures, and potential pain or discomfort.</div></div><div><h3>Conclusion</h3><div>Cystic hygroma in adults is a rare condition with variable presentation. The management of these lesions is complex and multidisciplinary and depends on expertise and experience. The mainstay of treatment is complete excision.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"Article 110595"},"PeriodicalIF":0.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent splenic flexure colonic volvulus: A case report","authors":"Alemneh Mitku Chekol ,&nbsp;Degefa Tadesse Alemu ,&nbsp;Tibebu Geremew Haile ,&nbsp;Dawit Dereje Leuleberehan ,&nbsp;Bedru Areb Kedir","doi":"10.1016/j.ijscr.2024.110575","DOIUrl":"10.1016/j.ijscr.2024.110575","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Large-bowel obstruction (LBO) is an emergency condition that requires early identification and intervention. Among all causes of LBO colonic volvulus is the third leading cause worldwide. Colonic volvulus is an axial rotation of the colon around a fixed point. Splenic flexure volvulus is the least common location for colonic volvulus, accounting for &lt;1 % of cases.</div></div><div><h3>Case presentation</h3><div>A 41-year-old male patient presented to the emergency department with a history of crampy abdominal pain, abdominal distension and failure to pass feces and flatus of three days duration. He had a history of laparotomy 1 year back, at which time de-rotation of the splenic flexure was done. This time, while preparing the patient for emergency laparotomy, he passed both feces and flatus. On the same admission, he was operated and left hemicolectomy and end to end anastomosis was done.</div></div><div><h3>Clinical discussion</h3><div>Due to splenic flexure attachments to the left upper quadrant via Splenic ligament splenic flexure colonic volvulus is very rare. Risk factors include congenitally absent ligaments, congenital bands, acquired adhesions, previous colonic surgery. With the appropriate clinical setting radiographic diagnosis is suggested when there is a markedly dilated, air-filled colon with an abrupt termination at the anatomic splenic flexure, two widely separated air- fluid levels, and an empty descending and sigmoid colon.</div></div><div><h3>Conclusion</h3><div>Following adequate resuscitation urgent exploratory laparotomy is recommended in splenic flexure volvulus. If the clinical condition of the patient allows colonic resection with continuity restoration is the preferred conventional approach.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"Article 110575"},"PeriodicalIF":0.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic appendicitis; the overlooked cause of chronic abdominal pain: Case report.","authors":"Eskinder Amare Assefa, Yonas Girma Shumiye, Abel Shiferaw Tesfaye, Anatia Kifle Alemu, Zekarias Seifu Ayalew","doi":"10.1016/j.ijscr.2024.110593","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110593","url":null,"abstract":"<p><strong>Introduction: </strong>Acute appendicitis is a surgical emergency and the diagnosis is straightforward in majority of the cases. However, chronic appendicitis, a relatively rare cause of chronic abdominal pain, presents a unique challenge due to its atypical presentation. This rarity underscores the need for vigilance and thoroughness in our practice to avoid misdiagnosis or delay in diagnosis.</p><p><strong>Case presentation: </strong>We present a case of chronic appendicitis in which a 30-year-old male patient presented with a nine-month history of chronic abdominal pain with mild right lower quadrant tenderness. Abdominal ultrasound suggested a feature of appendicitis, and the patient underwent appendectomy; finally, the diagnosis was confirmed on the histopathologic exam.</p><p><strong>Discussion: </strong>Chronic appendicitis, a relatively rare condition, is often diagnosed late due to a lack of well-developed diagnostic criteria and atypical presentation. However, using abdominal U/S and CT scan imaging plays a crucial role in assessing chronic appendicitis, highlighting the importance of these tools in our practice. In many cases, the ultimate diagnosis is confirmed after a histopathology exam, reinforcing the need for a comprehensive approach to diagnosis.</p><p><strong>Conclusion: </strong>Chronic appendicitis can have an atypical presentation with milder symptoms, and it should be considered in the differential diagnosis of patients presenting with chronic right lower quadrant abdominal pain. Abdominal U/S is an important imaging modality in assessing suspect cases of chronic appendicitis.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110593"},"PeriodicalIF":0.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal hernia through mesoappendix causing small bowel obstruction: A case report","authors":"Eneyew Mebratu Gashey ,&nbsp;Sileshi Genetu Tiruneh ,&nbsp;Fekadu Wudie Gelaw ,&nbsp;Adugna Tasew Tebabel ,&nbsp;Litegebew Yitayeh Gelaw","doi":"10.1016/j.ijscr.2024.110590","DOIUrl":"10.1016/j.ijscr.2024.110590","url":null,"abstract":"<div><h3>Introduction</h3><div>Intestinal obstruction is one of causes of acute abdomen leading to laparotomy. Even though there are different causes of small bowel obstruction (SBO), internal hernia is a rare one. Though different types of internal hernias occur, herniation through the mesoappendix is reported only four times in the literature.</div></div><div><h3>Case presentation</h3><div>We describe here such a type of hernia on a 50 yrs old male presented with symptoms and signs of SBO whose cause was diagnosed to be internal hernia through mesoappendix intraoperatively. He was managed with appendectomy and release of the hernia.</div></div><div><h3>Clinical discussion</h3><div>Intestinal obstruction is a common cause of acute abdominal conditions and can lead to significant mortality if not managed appropriately. Internal hernias account for less than 1 % of intestinal obstruction cases. The cause of trans-mesoappendicular internal hernias remains largely unknown. A congenital defect in the mesoappendix may contribute to the development of these hernias.</div></div><div><h3>Conclusion</h3><div>In patients with acute intestinal obstruction without previous surgery, internal hernia should be considered as a differential diagnosis. Trans-mesoappendicular hernia is extremely rare type of internal hernia.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"Article 110590"},"PeriodicalIF":0.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of peroneal tendon subluxation with concominant anterior talofibular ligament tear: A case report and literature review.","authors":"Romy Deviandri, Christian Setiadi, Bayu Pratama Putra, Muhammad Wiranata","doi":"10.1016/j.ijscr.2024.110583","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110583","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Stability of the peroneal tendon and lateral ankle structure is essential. Appropriate treatment is mandatory to improve the outcome.</p><p><strong>Case presentation: </strong>A 47-year-old female has had ankle pain for around six months. She has a history of falling while getting downstairs. A physical examination around the lateral ankle revealed slight local swelling and tenderness. Advanced radiography shows peroneal inflammation, subluxation, and an Anterior Talo-Fibular Ligament (ATFL) tear. The patient was diagnosed with peroneal tendinitis with subluxation of the peroneal longus tendon and ATFL tear.</p><p><strong>Clinical discussion: </strong>We performed an open procedure with debridement, tubularization, and superior retinaculum repair, followed by ATFL repair using a modified Brostorm-Gould technique to stabilize the ankle. The outcomes of the Foot and Ankle Disability Index (FADI) and Visual Analogue Scale (VAS) were evaluated, and they showed promising results after treatment.</p><p><strong>Conclusion: </strong>Appropriate treatment should be performed to manage lateral ankle pain. A peroneal subluxation accompanied by an ATFL tear could be treated by an open procedure with debridement, tubularization, and superior retinaculum repair, followed by a modified Brostorm-Gould procedure. All these subsequent procedures are valuable and straightforward techniques for managing ankle stabilization.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110583"},"PeriodicalIF":0.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of near-infrared fluorescent clip for the robot-assisted gastrectomy: Report of 2 cases (case series).","authors":"Kenji Takeshita, Naoto Takahashi, Yuta Takano, Naoki Toya, Fumiaki Yano, Ken Eto","doi":"10.1016/j.ijscr.2024.110576","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110576","url":null,"abstract":"<p><strong>Introduction and importance: </strong>The importance of preoperative tumor site marking has increased over the years, as the method of intraoperative primary lesion identification and determination of resection margins is one factor determining whether oncological safety and function-preserving gastrectomy are possible during surgery. We hypothesize that preoperative placement of the near-infrared fluorescent (NIRF) clip, ZEOCLIP FS, near the oral incision line of the gastric tumor will allow for Firefly recognition of the NIRF clip on da Vinci during surgery and easy determination of the tumor location and incision line. Hence, we report on two cases in which the procedure was performed.</p><p><strong>Case presentation: </strong>Case 1: A 62-year-old woman was diagnosed with early gastric cancer of 35 mm in size located in the greater curvature of the gastric angle and underwent robot-assisted distal gastrectomy. NIRF clips were placed around the negative biopsy-confirmed area on the tumor's oral side by endoscopy on the day before surgery. The clips were identified intraoperatively in Firefly mode, and we performed gastrectomy without using an intraoperative endoscope. Case 2: A 60-year-old man was diagnosed with early gastric cancer 40 mm in size on the anterior wall of the gastric angle and underwent robot-assisted distal gastrectomy. Similarly, NIRF clips were placed around the site of negative biopsy confirmation the day before surgery. NIRF clips were identified, and we performed gastrectomy.</p><p><strong>Clinical discussion: </strong>The time taken to mark the gastric resection line after activating the Firefly imaging system was 120 and 154 s, respectively, and intraoperative endoscopy was not required. The advantage of our two-step method is that a surgeon can mark the clips the day before the surgery, even if they are not endoscopists. Increasing the recognition rate of fluorescent clips and preventing their remains are future issues.</p><p><strong>Conclusion: </strong>Based on the results of the above two cases, ZEOCLIP FS is influential in determining the tumor's location and the resection line.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110576"},"PeriodicalIF":0.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early repeated shim dislocations after oxford unicondylar replacement: A case report.","authors":"Shun Guo, Pei-Nan Li, Hai-Chao Dong, Hong Zhang","doi":"10.1016/j.ijscr.2024.110588","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110588","url":null,"abstract":"<p><strong>Introduction: </strong>Although shim dislocation is one of the post-UKA complications, the repeated shim dislocations early after the operation are rarely reported. Currently, no consensual clinical guideline for the reliable prevention and proper management of this complication has been available.</p><p><strong>Case presentation: </strong>Two years ago, a 60s old female patient came to the hospital for treatment due to left knee joint pain for more than 10 years and the failure to release her suffering via conservative treatment. Given the evidence of X-ray (Fig. 1), the patient was diagnosed as left knee medial compartment osteoarthritis and was hospitalized for surgical treatment.</p><p><strong>Clinical discussion: </strong>For a mobile platform UKA, whether it is an initial liner dislocation or a re-dislocation, revision to TKA is optimal when the underlying cause of the dislocation cannot be determined or corrected.</p><p><strong>Conclusion: </strong>Standardized and precise surgical procedures as well as postoperative patient instructions are key factors in avoiding complications.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110588"},"PeriodicalIF":0.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}