在受感染的全膝关节关节整形术后,膝盖以上截肢的功能结果
Mehdi Abouei1, Ahmed H Elhessy2, Janet D Conway2
1Department of Orthopedic Sports Medicine, Orlando Health, Orlando, FL, USA.
Arthroplasty today
|September 4, 2023
概括
膝盖以上截肢 (AKA) 是感染膝盖全关节整形术 (TKA) 的最后手段. 虽然结果是中度的,但成功的假肢安装和行走显著改善了患者的功能.
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
- 康复医学 康复医学 康复医学
背景情况:
- 周围假肢关节感染是全膝关节整形术 (TKA) 后的一种严重并发症.
- 管理选项范围从脱bridement和修订截肢.
- 这项研究侧重于膝盖以上截肢 (AKA) 由于未解决的感染TKA.
研究的目的:
- 为了评估 AKA 接受感染 TKA 的患者的病因学和功能结果.
- 确定影响术后功能结果的因素.
主要方法:
- 从2007年到2020年,对21名患者进行了回顾性图表审查,这些患者在感染TKA时接受了AKA治疗.
- 收集的数据包括人口统计,并发症,培养结果和功能结果 (SF-36,ADL).
- 需要至少1年的随访时间.
主要成果:
- 格拉姆阳性生物是最常见的病原体 (66.7%).
- 在81%的患者中,假肢安装成功.
- 在57.1%的患者中实现了行走,与非行走者相比,SF-36和ADL得分明显更好.
结论:
- 膝盖上部截肢 (AKA) 应该被视为耐火性感染膝盖全关节整形术 (TKA) 的最终治疗选择.
- 尽管患者报告的结果通常是温和的,但成功安装假肢和行走能力对于改善截肢后的功能结果至关重要.
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