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无水泥无金属陶涂层的肩部重新表面化
1Swedish Medical Center, 901 Boren Ave., Suite 711, Seattle, WA 90104, USA.
Journal of personalized medicine
|May 27, 2023
概括
使用陶植入物的肩部复苏为年轻,活跃的人提供了出色的临床结果和高患者满意度. 这种保护骨的手术证明了长期的存活率和最小的并发症,使其成为成功的骨关节整形手术选择.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 重建性手术是一种重建性手术.
背景情况:
- 肩膀复苏是治疗关节炎和无血管缩等疾病的骨保护性手术选择.
- 这对于年轻,活跃的患者来说尤其重要,他们优先考虑植入物的寿命和功能.
- 陶表面最大限度地降低了磨损和潜在的金属敏感性.
研究的目的:
- 评估无水泥,陶涂层肩部复苏植入物的临床结果和生存率.
- 评估患者在手术后的满意度和功能状态.
- 为了分析状腺软骨的磨损和植入物灵敏度.
主要方法:
- 在1989年至2018年期间,对586名接受陶涂层肩部复苏植入物的患者进行了回顾性审查.
- 患者的随访平均为11年,评估使用简单的肩部测试 (SST) 和患者可接受的症状状态 (PASS).
- CT扫描用于测量患者的一个子集的状腺软骨磨损.
主要成果:
- 94%的患者报告了优秀或良好的临床结果,92%的患者实现了患者可接受的症状状态.
- 只有6%的患者需要修复手术,86%的人更喜欢重新表面化而不是带茎/无茎的替代.
- 没有报告任何植入物敏感的情况;在10年内,角质软骨的磨损平均为0.6毫米.
结论:
- 用陶植入物重新表面化肩膀是一种临床上成功的程序,具有很好的长期生存率.
- 对于年轻和活跃的患者来说,它是一个非常有效的选择,这些患者患有肩膀关节炎,无血管缩或旋转手套关节炎.
- 陶表面提供了低磨损和没有金属敏感性的好处,支持其在 hemiarthroplasty 的使用.
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