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如何管理金属化:在修复部手术后的回顾性队列分析

Antongiulio Bruschetta¹, Michelangelo Palco², Domenico Fenga³

¹Orthopaedic Institute of Southern Italy "Franco Scalabrino", 98165 Messina, Italy.

Journal of clinical medicine

|July 29, 2023

概括

部植入物的腐蚀会释放金属碎片,导致疼痛的组织反应和金属离子水平升高. 手术干预,如瘤类脱bridement,可以帮助管理这些不良的局部组织反应.

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
毒理学毒理学毒理学

背景情况:

金属对金属部植入物可能会引起局部不良组织反应,原因是模块化接口的腐蚀.
微运动导致,磨损和金属离子 (,) 的释放,导致系统和局部影响.
这些反应可以表现为痛苦的软组织质量和损伤.

研究的目的:

描述患有关节假肢部身体接口腐蚀不良组织反应的患者.
记录临床表现,诊断工作和手术发现.
为了调查金属化和感染之间的潜在相关性.

主要方法:

对患有金属表面腐蚀引起的局部不良组织反应的患者进行了回顾性研究.
对血液标记物的分析:红细胞沉积率,C反应蛋白和素.
磁共振成像 (MRI) 协议用于评估组织反应.

主要成果:

在43名患者中观察到血清和水平升高.
显著增加了红细胞沉积率和C-反应蛋白水平.
核磁共振扫描显示了对金属碎片的不良反应,包括大型软组织质量和周围组织损伤.

结论:

关节假肢腐蚀释放金属离子和碎片,导致局部和全身影响,包括软组织变化.
"类似瘤的"脱bridement是一种潜在的手术方法来缓解这些并发症.

关键词:

火星MRI-MARS-MRI可以使用.是的元素之一.科巴尔特是什么意思科巴尔特是什么意思腐蚀腐蚀是一种腐蚀.金属对金属的金属对金属.金属化金属化过程中的.周围假肢关节感染伪瘤是一种伪瘤.整体关节整形术部落学部落学部落学

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