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1病例介绍患者女,82岁。2011年4月因左膝关节骨关节炎行人工全膝关节置换术,术后功能恢复良好。2014年4月摔伤致左股骨远端假体周围骨折入院,考虑远端骨折块距离假体近,患者合并多种内科疾病,身体条件差,选择行闭合复位外固定架固定;同年9月再次摔伤致外固定架钉眼处骨折,考虑假体周围骨折尚未完全愈合,取出骨折部位外固定架螺钉,继续行外固定治疗;6个月后复查X线片示骨折愈合良好,行外固定架取出术,术后3d出院。出院当晚,患者主诉左大腿内侧肌肉阵发性痉挛,继而疼痛明显,
1 case description Female patient, 82 years old. April 2011 due to left knee osteoarthritis artificial total knee arthroplasty, postoperative functional recovery is good. In April 2014, the left femur fractured the perioperative periprosthetic fracture hospitalized in April 2014. Considering that the distal fracture block was near the prosthesis, the patient combined with various medical diseases, and had poor physical condition. The patient was selected to undergo closed reduction and external fixation. In September of the same year Again falls to external fixator nail eye fracture, consider the prosthesis around the fracture has not completely healed, remove the fracture site external fixator screw, continue external fixation; 6 months after the review of X-ray showed fracture healing well, outside the line Remove the holder, postoperative 3d discharged. On the night of discharge, the patient complained of paroxysmal spasm in the medial thigh of the left thigh, and then the pain was obvious.