在内置骨架重建手术中注射真空治疗的作用
André Mathias Baptista1, André Ferrari DE França DE Camargo1, Marcelo Tadeu Caiero1
1Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas, Instituto de Ortopedia e Traumatologia IOT HCFMUSP, Grupo de Oncologia Ortopedica, Sao Paulo, SP, Brazil.
Acta ortopedica brasileira
|August 7, 2023
概括
切口负压治疗 (iNPT) 显著减少了手术后感染和伤口并发症,在接受骨瘤重建手术的患者内置假肢. 这种疗法提供了一个有前途的方法来改善复杂的骨科瘤病例的结果.
科学领域:
- 整形外科手术 整形外科手术
- 在瘤学瘤学.
- 生物材料是一种生物材料.
背景情况:
- 使用内置假肢的重建性手术是骨恶性瘤的标准,但术后感染是严重的并发症.
- 目前感染的治疗方法包括长时间住院和抗生素治疗.
- 切口负压疗法 (iNPT) 是一种新兴的技术,用于减轻手术部位并发症.
研究的目的:
- 评估iNPT在减少骨瘤切除和内置假体重建后的术后并发症方面的疗效.
- 研究iNPT对这种特定患者群体的感染率和伤口愈合的影响.
主要方法:
- 一个回顾性病例系列,涉及16名患有骨髓瘤的患者.
- 患者接受了瘤切除和内脏假体重建,随后进行了术后iNPT七天.
- 在六个月的随访期间,评估的结果包括术后感染发生率和外科创伤并发症.
主要成果:
- 只有3名患者 (18.7%) 患有术后感染.
- 在手术部位没有记录伤口脱光,血清瘤或血瘤的情况.
- 观察到的并发症率明显低于类似文献中报告的.
结论:
- 在骨恶性瘤切除后,iNPT显示出潜在的潜力,作为一种有效的方法,用于减少骨恶性瘤切除后涉及内置假体的重建性手术中的局部并发症.
- 这些发现表明,iNPT可以改善复杂的骨科瘤病例中的外科创伤结果.
- 进一步的研究可能会验证iNPT在这种情况下作为标准的辅助疗法.
更多相关视频
05:54Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
1.8K
09:07Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
2.4K
相关概念视频
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:31Bone Remodeling and Repair
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...