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Complex regional pain syndrome as a result of total knee arthroplasty: A case report and review of literature

机译:全膝关节置换术导致的复杂性局部疼痛综合征:一例报道并文献复习

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摘要

Total knee arthroplasty (TKA) is an effective treatment for patients with end-stage symptomatic knee osteoarthritis. As the aging population grows, the demand for the procedure is projected to increase. While highly successful, TKA has associated risks and complications. Complex regional pain syndrome is one uncommon but debilitating complication that can negatively impact patient satisfaction and quality of life. We present a case of complex regional pain syndrome in the operated leg that resulted in significant functional deficits. Key findings of this case include significant and disproportionate pain in the joint, altered cutaneous sensation around the joint, and decreased range of motion in flexion in the absence of any mechanical issues with the TKA. Because of the debilitating nature of this condition, patients must be fully informed of and realize the risks associated with undergoing a widely appreciated procedure such as TKA.
机译:全膝关节置换术(TKA)是终末期症状性膝关节骨关节炎患者的有效治疗方法。随着人口老龄化的增长,对该程序的需求预计会增加。尽管取得了巨大成功,但TKA却伴随着风险和并发症。复杂的局部疼痛综合征是一种不常见但使人衰弱的并发症,会对患者的满意度和生活质量产生负面影响。我们介绍了导致严重功能缺陷的手术腿部复杂区域疼痛综合征的病例。该病例的主要发现包括关节明显疼痛和不均衡疼痛,关节周围皮肤感觉改变以及在没有任何TKA机械问题的情况下屈曲运动范围减少。由于这种情况使人虚弱,必须充分告知患者并意识到与接受广泛认可的手术(例如TKA)相关的风险。

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