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关节镜治疗与开放式灌和脱bridement在本地膝盖败血性关节炎:一个回顾性审查

Theodore L Schoenfeldt¹, Madeline M Lyons¹, Fahad Sarvari²

¹Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL, USA.

Journal of clinical orthopaedics and trauma

|October 11, 2023

概括

膝关节的败血性关节炎需要及时治疗. 关节镜膝关节手术可能会导致较高的重复手术率和较长的住院时间,而不是性关节炎的开放手术.

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
关节炎研究关节炎研究

背景情况:

原生膝盖败血性关节炎是一种罕见但严重的疾病.
涉及手术减压和抗生素的及时治疗对于预防高发病率至关重要.

研究的目的:

为了比较关节镜治疗与开放灌和除菌治疗本地膝关节败血性关节炎的疗效.

主要方法:

在2007年1月至2018年8月期间,对因原生膝关节败血性关节炎治疗的患者进行了回顾性审查.
在关节透视和开放脱bridement组之间的患者人口统计学,外科手术,重新手术率,实验室值,停留时间和并发症的比较.

主要成果:

66名患者接受了85次手术,52%是关节镜手术,39%是开放式手术.
在关节镜治疗 (OR=4.05-4.39) 中观察到更高的,尽管在统计学上不显著,但重新手术的几率更高.
经过关节镜脱bridement的患者住院时间明显长 (RR=1.31,p=0.02).

结论:

原生膝盖败血性关节炎通常可以用单次手术干预来治疗.
与败血性关节炎的开放性脱bridement相比,关节镜脱bridement可能与重新手术率的增加和更长的住院时间有关.

关键词:

关节质整术是指关节质整术.灌和清理污染的灌和清理败血性关节炎是什么意思

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