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関連する概念動画

Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Continuous Renal Replacement Therapy01:30

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Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
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Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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The Extracellular Matrix01:42

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In-vitro Mutagenesis01:16

In-vitro Mutagenesis

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To learn more about the function of a gene, researchers can observe what happens when the gene is inactivated or “knocked out,” by creating genetically engineered knockout animals. Knockout mice have been particularly useful as models for human diseases such as cancer, Parkinson’s disease, and diabetes.
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Crystal Field Theory - Tetrahedral and Square Planar Complexes02:46

Crystal Field Theory - Tetrahedral and Square Planar Complexes

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Tetrahedral Complexes
Crystal field theory (CFT) is applicable to molecules in geometries other than octahedral. In octahedral complexes, the lobes of the dx2−y2 and dz2 orbitals point directly at the ligands. For tetrahedral complexes, the d orbitals remain in place, but with only four ligands located between the axes. None of the orbitals points directly at the tetrahedral ligands. However, the dx2−y2 and dz2 orbitals (along the Cartesian axes) overlap with the ligands less than the dxy,...
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Knee Arthrocentesis in Adults
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膝の置換

Andrew J Price1, Abtin Alvand1, Anders Troelsen2

  • 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, Nuffield Orthopaedic Centre, Oxford, UK.

Lancet (London, England)
|November 30, 2018
PubMed
まとめ
この要約は機械生成です。

膝の置換手術は 骨関節炎ではよく行われますが 20%の患者は 痛みを和らげません 将来の改善は 患者の成果を高めるために 移植だけでなく 外科技術や手術前ケアや技術にも 焦点を当てています

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科学分野:

  • 整形外科
  • 筋骨関節の手術
  • 膝関節整形手術

背景:

  • 膝の置換手術は 世界的に広く行われている 費用対効果の高い筋骨組み手術です
  • 膝の痛みを伴う関節炎は 機能と生活の質を低下させ 手術の主要な兆候です
  • 膝の置換手術の利用率は 地域や国によって大きく異なります

研究 の 目的:

  • 膝の置換手術の現状を見直すため
  • インプラントの設計を超えて改善すべき分野を特定する.
  • 患者の改善と 痛みの軽減の必要性を強調するためです

主な方法:

  • 膝の置換手術の結果に関する既存の文献のレビュー
  • 手術介入の値に影響を与える要因の分析
  • インプラントの設計,インプラントの技術,および手術後のケアに関するトレンドの検討

主要な成果:

  • 長期のインプラント生存率は一般的に優れているが,20%以上の患者は最適でない痛み緩和と臨床結果を報告している.
  • インプラントの設計から 移植方法の最適化や 術後のケアに 焦点を当てています
  • 改善された回復プログラムは患者の管理に有益であると認識されています.

結論:

  • 膝の置換手術で痛みが軽減される患者の割合を増やすためには,さらなる研究と開発が必要である.
  • 手術技術の改善,合併症の回避,そして手術後のケアが不可欠です.
  • 新興技術は 膝の置換治療の進歩に 期待を寄せているので 厳格な規制と安全性の監視が必要です