用受约束的关节骨线来关节关节间隔器:关节骨损失和凝固质量的影响
Grayson T Glenn1, Andrew E Apple2, Simon C Mears1
1Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR 72205, USA.
Antibiotics (Basel, Switzerland)
|September 28, 2023
概括
功能性关关节间隔器在治疗关节感染方面表现有前途,提供更好的流动性. 并发症和再感染率与静态间隔器相似,骨损失和水泥地幔质量不会影响进一步手术的需要.
科学领域:
- 整形外科手术 整形外科手术
- 传染病管理 传染病管理
- 生物材料科学 生物材料科学
背景情况:
- 周围假肢关节感染 (PJI) 的管理通常需要分阶段的手术程序.
- 静态的抗生素隔离器限制了患者的运动和部功能.
- 关节间隔器旨在改善部感染治疗的结果.
研究的目的:
- 为了评估功能性关关节间隔器的并发症率,具有受约束的内.
- 评估形骨凝固地幔质量和骨损失对第二阶段手术必要性的影响.
- 为了比较PJI和使用关节间隔器治疗的本地部感染之间的结果.
主要方法:
- 对103名用功能性关节间隔器治疗的患者进行了回顾性审查.
- 对人口统计数据,间隔器寿命和并发症的分析.
- 评估骨损失等级和骨骨水泥地幔质量.
主要成果:
- 在PJI和本地部感染之间,与间隔器相关的并发症或再感染率没有显著差异.
- 32%的患者保留了他们最初的关节间隔器.
- 在保留间隔器和需要重新植入的患者之间,水泥地幔质量和骨损失没有显著差异.
结论:
- 功能性关节性抗生素间隔器与固的受约束的骨内显示出对部感染的早期结果很有希望.
- 观察到发生脱位事件的比例很低.
- 改善水泥固定可能会减少对第二阶段再植入手术的需要.
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