在状细胞疾病中,全关节整形术 (THA) 的生存率
1The Department of Orthopaedic Surgery, King Fahd Hospital of the University, Imam AbdulRahman Bin Faisal University, POBOX 2208, AlKhobar, 31952, Saudi Arabia. AlOmranAbdallahS@gmail.com.
Archives of orthopaedic and trauma surgery
|July 19, 2023
概括
关节整形术 (THA) 对状细胞病患者是安全的,在12年的随访期间,疼痛和功能显著改善. 建议在年轻患者 (≤25岁) 进行早期手术.
科学领域:
- 整形外科手术 整形外科手术
- 血液学 血液学 血液学
- 类风湿病学 类风湿病学
背景情况:
- 状细胞疾病 (SCD) 对骨科手术提出了独特的挑战.
- 在SCD患者中评估关节整形术 (THA) 的结果对于治疗建议至关重要.
研究的目的:
- 评估THA在状细胞病患者的疗效和安全性.
- 将结果与全球数据进行比较,以告知SCD的常规THA建议.
主要方法:
- 在92名状细胞患者 (76 Hgb SS,16 Hgb AS) 中进行了117次THA.
- 包括的患者患有III级Ficat或更高的股骨头血管瘤.
- 使用无水泥多孔涂层的近端大腿骨固定,通过修改的哈里斯部评分 (MHHS) 和视觉模拟量表 (VAS) 评估结果.
主要成果:
- 显著减少疼痛:VAS从手术前的平均7个改善到手术后的2.5个.
- 改善关节功能:MHHS从44增加到79.
- 9.7%的患者出现并发症,其中5.9%需要修复手术以进行无菌松.
结论:
- 在状细胞病患者中,THA是一种安全的程序,平均随访时间为12年.
- 这种手术在这个人群中显示出积极的功能结果和疼痛缓解.
- 在患有部问题的年轻SCD患者 (≤25岁) 中,THA不应延迟.
相关概念视频
Bone Marrow Sampling and Transplants
360
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
360
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12


