PDF(Pubmed)
Abstract：
A 52-year-old woman, with a multifaceted medical background encompassing spinal cord injury, pneumonia, and recurrent hospitalizations, presents with enduring left hip and leg discomfort ultimately diagnosed as avascular necrosis (AVN). She previously underwent intraosseous direct anterior arthroplasty (DAA) of the left hip during the removal of orthopedic artifacts. Despite enduring hypertension, severe trochanter dislocation, and prosthesis fracture, she recovered and required additional surgery to address the dislocation and fracture. This case underscores the challenges in diagnosing and treating AVN, emphasizing the importance of meticulous postoperative care and a multidisciplinary approach. Challenges highlighted by AVN include delayed diagnosis, intricate surgical procedures, and the potential need for further interventions due to hardware complications and infection as seen in this patient.
摘要：
一个52岁的女人,具有多方面的医学背景，包括脊髓损伤，肺炎,和反复住院，呈现持久的左臀部和腿部不适，最终被诊断为缺血性坏死（AVN）。在去除骨科伪影期间，她曾接受过左髋关节骨内直接前关节成形术（DAA）。尽管持续的高血压，转子严重脱位,假体骨折，她康复了，需要额外的手术来解决脱位和骨折。这个案例强调了诊断和治疗AVN的挑战，强调细致的术后护理和多学科方法的重要性。AVN强调的挑战包括延迟诊断，复杂的外科手术,以及该患者由于硬件并发症和感染而可能需要进一步干预。
