[耻骨骨膜炎的治疗:关于两个病例的关节固定新技术及文献综述]。

Acta ortopedica mexicana Pub Date : 2024-03-01
J Olucha-Puchol, J R Rodríguez-Collell, P Renovell-Ferrer
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引用次数: 0

摘要

导言:耻骨联合疼痛即使是在运动员身上研究过,但在其他患者群体中仍然是诊断和治疗方面的难题。在这种情况下,难治性耻骨联合骨关节炎本身就是一个缺乏明确治疗共识的问题。材料与方法:对两名 65 岁以上、患有耻骨联合骨关节炎的女性进行了评估。结果:经过一年的随访,两名患者的临床和影像学状况均有所改善。结论:这项研究支持耻骨联合关节置换术对难治性骨关节病例的中长期疗效。结论:本研究支持耻骨联合关节置换术对难治性骨关节炎病例的中长期疗效,因此,该技术可被视为治疗上述疾病的一种手术选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Treatment of osteitis pubis: arthrodesis with a new technique regarding two cases and review of the literature].

Introduction: pain in the pubic symphysis, even if studied in athletes, still sets out diagnostic and therapeutic challenges in other patient groups. Within this context, refractory osteorthritis of the pubic symphysis presents itself as an issue lacking clear therapeutic consensus.

Material and methods: two women over 65 years old and presenting osteoarthritis of the pubic symphysis were evaluated. Following unsuccessful conventional therapies, arthrodesis via subpubic plate, wire suture and autologous graft from the iliac crest was performed.

Results: after a one-year of following, both patients experienced clinical and radiographic improvement. Bone arthrodesis was achieved without significant complications, proving to be a viable surgical option.

Conclusion: this study supports the medium and long-term efficacy of arthrodesis of the pubic symphysis in refractory cases of osteoarthrisis. Therefore, the technique can be considered a surgical option in the management of said condition.

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