骨质差或部结构差作为影响全关节整形术生存的风险因素
S Kobayashi1, N Saito, H Horiuchi
1Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan. seneki@hsp.md.shinshu-u.ac.jp
Lancet (London, England)
|May 9, 2000
概括
在全关节整形术 (THA) 中,无菌固定失败与骨质和骨结构不佳有关. 识别这些风险因素,如缩性骨关节炎和不利的通道几何形状,对于改善THA耐用性至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学是生物材料的科学.
- 医疗工程 医疗工程 医疗工程
背景情况:
- 麻醉固定失败仍然是关节整形术 (THA) 后的主要长期并发症.
- 现有的假肢和技术不足以解决骨质差和部结构问题.
- 这项研究研究了导致THA.的无菌固定失败的风险因素.
研究的目的:
- 为了确定与全关节整形术后无菌固定失败相关的特定风险因素.
- 分析导致插座松动和股骨固定失败的因素.
- 调查THA中聚乙烯快速磨损的发展.
主要方法:
- 多变量分析405个初级Charnley关节整形手术.
- 对生存率的评估和对无菌固定失败的风险因素的识别.
- 快速磨损聚乙烯 (穿透深度>或=2毫米/年) 的风险因素的调查.
主要成果:
- 性骨关节炎和快速的聚乙烯磨损是套松动的危险因素.
- 不良的骨髓通道几何形状 (炉管通道) 是腿部固定失败的危险因素.
- 奥特朗90股骨假肢显著降低了聚乙烯快速磨损率.
结论:
- 骨质差 (缩性骨关节炎) 影响THA.中口存活率.
- 糟糕的骨结构 (不利的通道几何) 影响大腿假肢的存活率.
- 需要进一步评估这些因素和生物干预措施,以提高THA的寿命.
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