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首页> 外文期刊>Therapeutics and Clinical Risk Management >Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review
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Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review

机译：脊椎心肌功能不良的全膝关节置换术，髌骨不可挽回的先天性脱位：案例报告和文献综述

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Background:Spondyloepiphyseal dysplasia is the clinical term applied to a group of rare genetic disorders with primary involvement of the vertebrae and epiphyses, predisposing the afflicted individuals toward the premature development of osteoarthritis. There are few reports concerning joint replacement therapy in these patients, particularly describing the role of total hip arthroplasty. In this report, we describe the anatomical and technical aspects of spondyloepiphyseal dysplasia that must be considered during surgical planning and performance of total knee arthroplasty.Case Presentation:A 49-year old woman with a history of spondyloepiphyseal dysplasia suffered from severe osteoarthritis of the knee and irreducible congenital dislocation of the patella. After careful preoperative evaluations and planning, the knee joint deformity was solved by knee joint replacement with realignment of the extensor mechanism using quadricepsplasty. After 2 years of surgery, the patient showed no pain and was able to walk with the help of elbow crutches. The Hospital for Special Surgery knee score increased from preoperative 51 points to 85 points during the final follow-up. The postoperative range of motion increased to final flexion of 0-115°.Conclusion:The advances made so far in the medical care for patients with skeletal dysplasia have improved their overall survival during adulthood. The case report described herein demonstrates the numerous challenges and technical aspects of a successful total knee arthroplasty in cases of spondyloepiphyseal dysplasia, highlighting the need to consider skeletal and soft tissue abnormalities of skeletal dysplasia during the planning and performance of joint replacement surgery.? 2021 Sponer et al.
机译：背景：Spondylepiphyseal发育不良是临床术语，适用于一组稀有遗传疾病，脊髓和骨骺的主要累积，促使患有患有骨关节炎的过早发育的受贫虐待者。这些患者的联合替代疗法有很少的报告，特别是描述了总髋关节置换术的作用。在本报告中，我们描述了脊椎内肌病发育不良的解剖和技术方面，必须考虑在手术规划和总膝关节阶段性的表现中进行考虑和不可减少的先天性脱位髌骨。经过仔细的术前评估和规划后，膝关节畸形通过膝关节置换求解，使用QuaddrodePlasty重新调整伸肌机制。 2年后手术后，患者没有疼痛，并且能够在肘部拐杖的帮助下行走。特殊手术膝关节评分的医院从术前从术前增加到85分，在最终的后续行动期间。术后运动范围增加到0-115°的最终屈曲。结论：到目前为止在骨骼发育不良患者的医疗保健中提出的进展在成年期间改善了它们的整体生存。这里描述的案例报告显示了在脊柱型心肌发育不良的情况下成功膝关节间关节置换术的众多挑战和技术方面，突出了在联合替代手术的规划和性能期间考虑骨骼发育不良的骨骼和软组织异常。 2021 Sponer等人。

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