■a窝囊肿,或者贝克囊肿,通常与关节疾病如骨关节炎和类风湿性关节炎(RA)有关。这些囊肿很少在全膝关节置换术(TKA)后发展,但了解何时以及为什么他们可以优化患者护理。这里介绍的是一个独特的案例,患有RA和先前TKA的患者的慢性复发性感染的pop囊肿,在骨科文献中发现一种不寻常的并发症值得关注。
■在这种情况下,病人有很长时间,难以治疗的RA。在左TKA之后,病人出现了疼痛的pop囊肿,导致2023年住院。尽管分枝杆菌和真菌学培养呈阴性,但微生物学分析仍将卢氏葡萄球菌确定为感染因子。手术干预涉及一个阶段的程序,包括广泛的大腿囊肿切除和假体置换。值得注意的是,囊肿达到了前所未有的大小,峰值为32厘米,在管理中提出了独特的挑战。
■本病例报告通过强调关节病理之间复杂的相互作用,为骨科文献做出了重要贡献。手术干预,和感染。它强调了多学科合作在管理复杂的肌肉骨骼疾病中的重要性。TKA术后罕见的大量感染的pop囊肿强调需要在术后患者护理中提高警惕。此外,本病例报告为了解TKA潜在并发症提供了有价值的补充,提供的见解,可以告知未来的治疗策略,并在骨科实践中优化患者的结果。
UNASSIGNED: A popliteal
cyst, or Baker\'s
cyst, is often associated with joint diseases such as osteoarthritis and rheumatoid arthritis (RA). It is rare for these cysts to develop following total knee arthroplasty (TKA), but understanding when and why they might can optimize patient care. Presented here is a unique
case of a massive, chronically recurring infected popliteal
cyst in a patient with RA and prior TKA, shedding light on an unusual complication worth attention in the orthopedic literature.
UNASSIGNED: In this
case, the patient had longstanding, difficult-to-treat RA. Following left TKA, the patient developed a painful popliteal cyst, leading to hospitalization in 2023. Microbiological analysis identified Staphylococcus lugdunensis as the infectious agent despite negative mycobacterial and mycological cultures. Surgical intervention involved a one-stage procedure, encompassing resection of the extensive thigh cyst and prosthesis replacement. Notably, the cyst reached an unprecedented size, measuring 32 cm at its peak, presenting a unique challenge in management.
UNASSIGNED: This
case report contributes significantly to orthopedic literature by highlighting the intricate interplay between joint pathologies, surgical interventions, and infections. It highlights the importance of multidisciplinary collaboration in managing complex musculoskeletal conditions. The rarity of a massive and infected popliteal cyst post-TKA emphasizes the need for heightened vigilance in patient care post-surgery. Furthermore, this
case report serves as a valuable addition to the understanding of potential complications associated with TKA, offering insights that may inform future treatment strategies and optimize patient outcomes in orthopedic practice.