用碳纤维指甲治疗长骨的结果,用于瘤学指标:国际多机构研究
Santiago A Lozano-Calderon1, Zeger Rijs, Oliver Q Groot
1From the Massachusetts General Hospital-Harvard Medical School, Boston, MA (Lozano-Calderon, Groot, Werenski, Merchan, Yeung, Sodhi, and Berner), Leiden University Medical Center Leiden, The Netherlands (Rijs, Su, and van de Sande), Centro Hospitalar Universitário do Porto, Oporto University Hospital Center, Porto, Portugal (Oliveria), IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy (Bianchi, Staals, and Donati), Ospedale Maggiore Trauma Center, Bologna, Italy (Lana), Tel Aviv Sourasky Medical Center, Tel Aviv, Israel (Segal), Centro Traumatologico Ortopedico, Turin, Italy (Marone, Piana, Meo, Pellegrino, and Ratto), Department of General Surgery, Plastic Surgery, and Orthopaedics, Policlinico Umberto I Hospital-Sapienza, Orthopaedic and Traumatology Unit, University of Rome, Rome, Italy (Zoccali). Orthopaedic Oncology Unit, Careggi University Hospital, Florence, Italy (Tomai, Scoccianti, and Campanacci), University Hospital of Pisa, Pisa, Italy (Andreani and Franco), Hospital Universitario La Paz, Madrid, Spain (Pensado, Ruiz, Moreno, and Ortiz-Cruz), Regina Margherita Children's Hospital Torino, TO, Italy (Boffano).
碳纤维指甲为病理性骨折提供了放射性替代金属植入物,显示了相似的并发症率. 需要进一步的研究来比较转移性骨病中碳纤维和指甲的结果.
科学领域:
- 整形外科手术 整形外科手术
- 在瘤学瘤学.
- 材料科学 材料科学 材料科学
背景情况:
- 用于病理性骨折的金属内髓指甲会导致成像工件.
- 碳纤维植入物提供放射性和优越的轴向曲性能.
研究的目的:
- 在病理性骨折中评估碳纤维指甲的机械和非机械并发症.
- 将并发症率与传统的金属植入物进行比较.
主要方法:
- 对239名用碳纤维指甲治疗的成年患者 (2013-2020年) 的回顾性分析.
- 评估了机械 (结构性故障,松动) 和非机械 (感染,瘤进展) 的并发症.
- 分析了并发症的风险因素.
主要成果:
- 14%的患者经历了并发症.
- 机械故障:1.7%的骨,2.9%的植入物结构,0.4%的松动.
- 非机械性故障:感染3.3%,瘤进展6.3%.
- 90天死亡率为28%,一年死亡率为53%.
结论:
- 碳纤维指甲是由于转移性骨病导致的病理骨折的可行替代方案.
- 并发症和死亡率似乎与植入物相比较.
- 需要进一步进行比较研究.
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