シングル・ステージ・バイラテル・トータル・ヒップ置換の機能的および放射線学的結果: 遡及的観察研究
Rajendra Kumar Kanojia1, Ramesh Kalappagol Basappa1, Dipesh Shah1
1Department of Orthopaedics, PGIMER, Chandigarh, India.
Indian journal of orthopaedics
|August 25, 2025
まとめ
双方の股関節疾患の患者にとって安全で効果的な処置であり,機能の有意な改善と低合併症率で高い患者満足度を提供します.
科学分野:
- 整形 術
- 関節整形
- 再建 術
背景:
- 一段階の双方の整体股関節置換術 (THR) は 麻酔への曝露を減らし,入院期間を短縮するなどの利点があります.
- 機能的および放射線学的結果の評価は,処置の有効性を評価するために不可欠です.
研究 の 目的:
- 一段階の双方の整体股関節置換術 (THR) の機能的および放射線学的結果を評価する.
- この手順の安全性と有効性を 患者集団で評価する.
主な方法:
- 後方アプローチによる1段階の双方向THRを施した30人の患者による遡及研究.
- 収集されたデータには,ASAグレード,入院,ヘモグロビン値,および合併症が含まれています.
- 機能的アウトカムは,修正されたハリス・ヒップスコア,SF-36,および患者満足度スケールを用いて評価された.
主要な成果:
- 平均手術期間は175分,平均失血量は834mlでした.
- 重大な合併症は認められず,平均入院期間は9. 9日でした.
- 患者の満足度 (86. 66%) が高い.
結論:
- 一段階の双方のTHRは,選択された患者で低合併症率と良好な機能的アウトカムに関連しています (ASA 1と2).
- この処置は双方の股関節疾患に対して安全な選択肢であり,適切な患者の選択によって経験豊富な外科医によって行われます.
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