陶对陶整体关节整形:我可以听到你
Zhida Shang1, Michael Tanzer1, Hamid Al Badi1
1Jo Miller Orthopaedic Research Laboratory, Division of Orthopaedic Surgery, McGill University, Montreal, Quebec, Canada.
Arthroplasty today
|September 25, 2023
概括
在陶对陶整部关节整形术 (THA) 中,声影响28%的患者长期存在,并且可以很大声. 这种并发症,特别是其大声和进展,需要考虑接受THA的年轻患者.
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
- 医学声学 医学声学
背景情况:
- 陶对陶 (CoC) 全关节整形术 (THA) 与尖叫有关,这是一个已知的并发症.
- 有限的研究量化了CoC THA.中声的响度和长期发生率.
研究的目的:
- 为了确定 CoC THA 中长期发出声的发生率.
- 为了确定与声相关的风险因素.
- 为了量化尖叫声音的强度.
主要方法:
- 展望问卷评估了130名初级COCTHA (110名患者) 的第四代轴承.
- 平均随访时间为10.5年.
- 使用CDC指南,用分贝 (dB) 测量噪音.
主要成果:
- 声发生在28%的CoC部,平均发病时间为手术后5.7年.
- 下肢体质量指数是一个危险因素 (P = .009).
- 平均声音强度为35dB,其中36%被认为是大声;早期发作和渐进的尖叫声更大声.
结论:
- 尖叫是CoC THA的常见且潜在的响亮并发症,甚至在手术后的几年.
- 随着时间的推移,声的响度可能会增加.
- 考虑到这些发现对于接受CoC THA的年轻患者至关重要.
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