肩部关节整形手术的系统单阶段手术后,感染控制率高 慢性感染
Laëla El Amiri1, Philippe Clavert1, Jeannot Gaudias2
1Shoulder and Elbow Surgery Department, Hautepierre Hospital 2 - CHU Strasbourg, Avenue Molière, 67000, Strasbourg, France.
International orthopaedics
|August 23, 2023
概括
在90%的患者中,系统的单阶段修复手术有效地治疗了慢性肩围假肢关节感染 (PJI),没有事先选择. 这种方法为肩膀PJI管理提供了令人满意的功能结果.
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
- 生物医学工程 生物医学工程
背景情况:
- 两个阶段的修订是慢性肩围假肢关节感染 (PJI) 的标准.
- 之前对PJI的一阶段修订的研究需要患者选择.
- 这项研究评估了系统的单阶段修订,没有患者选择.
研究的目的:
- 评估慢性肩PJI的系统一阶段修订后的感染根除率.
- 通过这个程序来评估功能和放射性结果.
- 为了确定一个阶段的修订的有效性,而没有手术前的患者选择.
主要方法:
- 对40名患有肩膀PJI的患者进行了回顾性单心研究.
- 所有患者都接受了为PJI进行的一阶段肩部假肢修改,该修改将在三周内进行.
- 对感染复发,临床和放射性结果进行至少两年的随访.
主要成果:
- 90% (36/40) 的患者实现了感染根除.
- 菌是最常见的病原体 (67.5%);40%的感染是多微生物.
- 报告了令人满意的功能结果 (平均恒定得分65.5%) 和患者满意度 (75%),其中20%经历了术后并发症.
结论:
- 系统的一阶段修复手术在90%的病例中有效消除慢性肩膀PJI.
- 该程序产生了令人满意的功能结果和患者满意度.
- 这种方法是两阶段修订的可行替代方案,即使没有手术前的患者选择.
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