全膝关节置换术后假体周围关节感染后的膝上截肢:一个致命的结果。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2024-12-21 eCollection Date: 2025-01-01 DOI:10.1093/jscr/rjae806
Catherine Purcell, Rajkumar Gangadharan, George Ampat
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引用次数: 0

摘要

原发性全膝关节置换术(TKA)是一种成功且具有成本效益的手术,其需求每年都在增加。结果通常很好,满意率为70%,因此该手术通常用于骨关节炎治疗,以改善活动能力和减轻疼痛。膝上截肢(AKA)是TKA的致命并发症。AKA与高死亡率、幻肢痛和非行动性残疾有关。在美国,假体周围关节感染(PJI)导致的AKAs发生率急剧上升,从1998年到2013年,由于PJI而进行的AKAs的比例几乎翻了两番。我们提出了一个病例的病人谁发展严重的不受控制的感染后,常规TKA,导致膝盖以上截肢和最终死亡。由于结果的极端和并发症的发生率上升,这是一个重要的病例讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Above knee amputation following periprosthetic joint infection after total knee arthroplasty: a fatal outcome.

Primary total knee arthroplasty (TKA) is a successful and cost-effective procedure for which demand is increasing annually. Outcomes are generally good with satisfaction rates of 70%, so the procedure is commonly used in osteoarthritis management to improve mobility and alleviate pain. Above knee amputation (AKA) is a devastating complication of TKA. AKA is associated with high mortality, phantom pain, and non-ambulatory disability. In the US, the incidence of AKAs due to periprosthetic joint infection (PJI) is rising drastically, with the proportion of AKAs performed due to PJI having almost quadrupled from 1998 to 2013. We present the case of a patient who developed severe uncontrolled infection following routine TKA, resulting in an above-knee amputation and ultimately death. Due to the extremity of the outcome and the rising incidence of the complication involved, this is an important case to discuss.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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