在巨型假肢重建中存在持续性周围假肢感染和截肢的高风险.
Christina Berger1,2, Catharina Parai1,2, Jonatan Tillander3
1Institution of Clinical Sciences, Department of Orthopaedics, Sahlgrenska Academy, University of Gothenburg, 416 45 Gothenburg, Sweden.
Journal of clinical medicine
|May 27, 2023
概括
巨型假肢重建带有深层关节感染的高风险,往往导致重新手术,持续性感染或截肢. 对于这些复杂的案件来说,谨慎的管理至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 深层周围假肢关节感染是大骨缺陷的大型假肢重建后的严重并发症.
- 这些感染可能会对患者的结果产生重大影响,需要进一步的干预.
研究的目的:
- 为了研究那些患有巨型假肢的患者的结局,他们会发展出深层周围假肢关节感染.
- 分析重新手术率,持续感染风险,关节切除和感染后的截肢.
主要方法:
- 对114名患者 (116个假肢) 的回顾性评估,他们接受了针对肉瘤,转移或创伤的大型假肢重建.
- 分析感染细节,治疗方式,细菌菌株和患者的结果,平均随访时间为7.6年.
主要成果:
- 30%的患者由于围围假肢感染而需要重新手术.
- 受感染的患者有51%的机会保留假肢,37%的人进行了截肢,9%的人患有关节障碍.
- 持久性感染发生在26%的感染病例中. 凝固酶阴性葡萄球菌和金黄色葡萄球菌是最常见的病原体.
结论:
- 巨型假肢与周围假肢感染的重大风险有关.
- 感染经常导致具有挑战性的结果,包括持久性感染或肢体截肢,突出需要有效的预防和治疗策略.
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