膝关节翻修幻灯片优质PPT.ppt
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- 上传时间:2022-10-24
- 格式:PPT
- 页数:24
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膝关节翻修幻灯片优质PPT.ppt
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AcaseofAcaseofrevisionTKArevisionTKADepartmentofJointDepartmentofJointSurgery,Hong-HuiSurgery,Hong-HuiHospitalHospitalCaseDescription:
@#@Patient,Sun*,female,65yearsold.“Theleftkneewaspainandlimited7yearsafterTKA”7yearsago,duetoleftkneeosteoarthritis,thepatienttakenTKA,2yearslater,theleftkneejointoccurredpain,theactivitywaslimited.Inthepastsixmonths,thepatientpainincrease,walkdifficultly.Physicalexamination:
@#@kneejointrange-10-0-100.Thelateralstresstest(+)ontheleftkneejoint,theskinsensationofbothlowerextremitiesandtheperipheralbloodtransportwerenotobviouslyabnormalAuxiliaryexamination:
@#@ESR8ml/h,CRP10mg/L,Procalcitonin0.08ng/L,CaseDescription:
@#@PreoperativeappearancePreoperativebucklingfunctionThelateralstresstestX-ray术前X线Question?
@#@Whethertheprosthesislooseningcombinewithinfection?
@#@Thereasonsoftheloosening?
@#@Howtotreatthebonedefects?
@#@Howdoyouadjustthejointlines?
@#@Blockchoice:
@#@thicklinerormetalpad+thinliner?
@#@OurtreatmentoptionExclusionofinfectionDissolutionbone/theprosthesislooseningoftheinitialTKALcckmetalpad+thinlinerintra-operativeimagelinerSeriousbonelossProsthesischoiceAfterinstallingtheimplantAfterinstallingtheimplantPostoperativetreatment:
@#@Preventionofinfection:
@#@24hoursofcefazolinesodium1.5mgtwiceAnalgesic:
@#@beforeandaftertheoperation,thenerveblockand“cocktail”intheoperationAnticoagulation:
@#@lowmolecularheparincalciumFunctionalexerciseetc.ThepostoperativekneebucklingfunctionThelateralstresstestafteroperationX-rayafteroperationDissusion:
@#@Thecausesofkneejointbonedissolution:
@#@ImplantchipsThefixationofbonecementThekneespaceislargeThesynovialtissueisrichthanks
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- 关 键 词:
- 膝关节 翻修 幻灯片
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