进行关节置换
Rory J Ferguson1, Antony Jr Palmer1, Adrian Taylor1
1Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Lancet (London, England)
|November 30, 2018
概括
整部关节置换手术有效地治疗关节炎的疼痛并改善关节功能. 患者因素,植入物进步和注册数据对于成功的结果和骨科手术的明智决策至关重要.
科学领域:
- 骨科手术
- 生物医学工程
- 患者报告的结果
背景情况:
- 全身关节置换 (THR) 是一种常见且成功的治疗晚期关节炎的手术.
- 关节炎是主要的症状,需要缓解疼痛和改善功能.
- 现代植入物面临越来越多的需求,
研究的目的:
- 探索患者特定因素如何影响THR手术决策.
- 审查植入技术和术后护理方面的进展,
- 讨论患者报告结果和注册数据在评估THR成功方面的重要性.
主要方法:
- 对THR,患者选择和植入技术的当前文献的审查.
- 分析影响手术结果的因素.
- 审查联合替代注册表数据和监管框架.
主要成果:
- 患者因素显著影响THR决策和结果.
- 植入物和外科实践的进步提高了THR的安全性和有效性.
- 关节置换注册表对于监测植入物存活率和通知监管变化至关重要.
结论:
- 考虑到患者因素的个性化手术方法对于成功的THR至关重要.
- 不断创新植入物和手术技术是满足患者期望的必要条件.
- 通过注册数据加强监管对THR患者的安全至关重要.
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