梦想何先生 发表于 2024-3-25 17:54:25

关注卫健活动：福清市第三医院成功实施髁限制型假体（LCCK）膝关节置换术

<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.fqlook.com/static/publish/css/style.css?v=1605251010503" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010503"><!--    付费贴-->    <div class="preview_article ">            <!---->    <p class="">健康大福清</p><p class="">2024-03-25 17:34&nbsp;福建</p><p class="">&nbsp;</p><p class="">膝关节假体根据限制性分为非限制性假体（如CR假体），半限制性假体（如PS假体），高限制型假体（一些翻修假体）和全限制性假体（铰链膝）等类型。其中，非限制性假体（如CR假体），半限制性假体（如PS假体）为普通膝关节置换常用假体。而髁限制型假体（LCCK）主要用于内外侧副韧带丧失功能，膝关节非常不稳定的情况。该手术在关节显露、术中截骨、软组织松解、假体安装、力线恢复及膝关节稳定性等方面都有着极高的要求。</p><p class="">&nbsp;</p><p style="font-weight: 400;">近日，福清市第三医院骨科一区</p><p style="font-weight: 400;">使用髁限制型假体（LCCK）</p><p style="font-weight: 400;">完成一例高难度重度内翻膝置换术</p><p style="font-weight: 400;">治疗伴有大面积骨缺损</p><p style="font-weight: 400;">侧副韧带止点缺失的严重内翻膝病例</p><p style="font-weight: 400;">成功治愈一例类风湿性关节炎</p><p style="font-weight: 400;">重度膝内翻患者</p><p style="font-weight: 400;">&nbsp;</p><p>病例分析</p><p>&nbsp;</p><p style="font-weight: 400;">患者李阿姨双侧膝关节疼痛、活动受限、内翻畸形20余年。近一年来右侧膝关节疼痛、膝内翻加重，无法行走，严重影响正常生活。</p><p style="font-weight: 400;">&nbsp;</p><p style="font-weight: 400;">福清市第三医院骨科一区副主任医师王秀华接诊后，结合查体及影像学资料对患者的病情进行了详细评估：右膝关节严重内翻畸形，压痛（ ），右膝关节活动度0-80&deg;，侧方应力试验（ ），右侧胫骨平台内侧骨缺损。由于该患者膝关节有较大的骨缺损、关节畸形严重、侧副韧带损伤，不适宜采用常规的人工膝关节置换术。为了保证膝关节的稳定性，恢复下肢立线又不影响关节屈伸功能，综合评估后选择行LCCK全膝关节置换术。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240325175150front2_0_153532_FnYRr1bi83Zp02ZMnKc76HrsUUVP.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="388" height="588" data-qf-origin="forum/20240325175150front2_0_153532_FnYRr1bi83Zp02ZMnKc76HrsUUVP.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240325175150front2_0_153532_FotQYgzikqsLUvP1mvq2XOmp2HPk.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="378" height="585" data-qf-origin="forum/20240325175150front2_0_153532_FotQYgzikqsLUvP1mvq2XOmp2HPk.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240325175150front2_0_153532_FlMAYFdUrrji4pBOEDshtxFZG-Z2.jpg?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="345" height="607" data-qf-origin="forum/20240325175150front2_0_153532_FlMAYFdUrrji4pBOEDshtxFZG-Z2.jpg?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p>手术过程非常顺利，术后X线显示假体大小、安放位置合适，内外侧间隙平衡，右下肢力线恢复，内翻畸形得到了明显纠正。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240325175227front2_0_153532_Fldu3c1nJdY6i-evKLUZUwgl3YLL.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="392" height="523" data-qf-origin="forum/20240325175227front2_0_153532_Fldu3c1nJdY6i-evKLUZUwgl3YLL.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240325175227front2_0_153532_FiQ-rjPUFEo2JmLNeAA6gPtgkm1y.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="387" height="516" data-qf-origin="forum/20240325175227front2_0_153532_FiQ-rjPUFEo2JmLNeAA6gPtgkm1y.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p class="empty_paragraph">&nbsp;</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240325175227front2_0_153532_Fs0OutZSVirRyP-M2FCbk1lyD__W.jpg?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="394" height="679" data-qf-origin="forum/20240325175227front2_0_153532_Fs0OutZSVirRyP-M2FCbk1lyD__W.jpg?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p>此次先为该患者行右侧膝关节置换</p><p>与术前相比</p><p>右侧膝关节已可以完全伸直</p><p>关节功能恢复满意</p><p>待康复数日后</p><p>再行左侧膝关节置换手术</p><p>&nbsp;</p><p>此次手术的成功开展</p><p>标志着福清市第三医院骨科膝关节置换术</p><p>迈向新台阶</p><p class="empty_paragraph" style="min-height: 25px;">将造福更多复杂膝关节炎的患者</p><p>&nbsp;</p><p>&nbsp;</p><p class="" style="min-height: 25px;">来源：福清市第三医院</p>    <!----></div>            

半度微凉 发表于 2024-3-25 21:44:09

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