股内收肌群痉挛致老年严重骨质疏松患者股骨干再骨折一例

发布时间：2018-06-18 01:36

  本文选题：骨质疏松症 + 肌肉痉挛　； 参考：《中国修复重建外科杂志》2017年04期

【摘要】：正1病例介绍患者女,82岁。2011年4月因左膝关节骨关节炎行人工全膝关节置换术,术后功能恢复良好。2014年4月摔伤致左股骨远端假体周围骨折入院,考虑远端骨折块距离假体近,患者合并多种内科疾病,身体条件差,选择行闭合复位外固定架固定;同年9月再次摔伤致外固定架钉眼处骨折,考虑假体周围骨折尚未完全愈合,取出骨折部位外固定架螺钉,继续行外固定治疗;6个月后复查X线片示骨折愈合良好,行外固定架取出术,术后3d出院。出院当晚,患者主诉左大腿内侧肌肉阵发性痉挛,继而疼痛明显,
[Abstract]:In April 2011, total knee arthroplasty was performed on the left knee osteoarthritis, and the function recovered well. In April 2014, the left distal femur periprosthetic fracture was admitted to hospital, considering the proximal distance of the distal fracture from the prosthesis. Patients with various internal medical diseases, poor physical conditions, choose to perform closed reduction and external fixator fixation; in September of the same year, the fracture of the nail eye of the external fixator was caused by another fall of the same year, considering that the fracture around the prosthesis has not been completely healed. The external fixation screw was removed from the fracture site and continued to be treated with external fixation. After 6 months X-ray examination showed that the fracture healed well and the external fixator was removed and discharged 3 days after the operation. On the night of discharge, the patient complained of paroxysmal spasm of the medial left thigh muscle, and the pain was obvious.
【作者单位】： 中国人民解放军总医院骨科;
【分类号】：R580;R687.3
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本文编号：2033410