应对全关节置换的挑战:形纠正和感染方面的考虑
Joseph D Dickinson1, David R Collman2, Lindsay H Russel3
1Kaiser San Francisco Bay Area Foot and Ankle Residency Program, Department of Orthopedics/Podiatry, Kaiser Permanente Oakland Medical Center, 3600 Broadway, Oakland, CA 94611, USA.
Clinics in podiatric medicine and surgery
|November 11, 2023
概括
全关节置换 (TAR) 在严重的关节关节炎中越来越受青,为患者提供与关节融合相似的满意度. 然而,由于脚的复杂解剖学,TAR的并发症率更高.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 完全关节置换 (TAR) 是对末期关节关节炎的日益增长的手术选择.
- 植入物设计的改进,手术技术和外科医生的经验都提高了TAR的结果.
- 现在TAR适用于以前只能用脚关节切除治疗的复杂形.
研究的目的:
- 审查全面关节置换 (TAR) 的现状和挑战.
- 突出TAR的进步和扩大指示.
- 讨论TAR中固有的复杂性和并发症管理.
主要方法:
- 关于全面脚置换近期进展的文献综述.
- 对患者满意度数据的分析,将ART与脚融合进行比较.
- 在 TAR 中评估扩展的适应症和并发症率.
主要成果:
- TAR的患者满意度水平与脚融合相美.
- 对TAR的适用范围已经扩大,以适应以前无法治疗的形.
- 与其他脚手术相比,TAR的并发症率更高.
结论:
- 完全关节置换 (TAR) 是一种可行且越来越受欢迎的治疗末期关节关节炎的方法.
- 由于脚的复杂解剖学和有限的软组织,管理TAR并发症是具有挑战性的.
- 持续的研究和技术改进对于提高TAR安全性和有效性至关重要.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
11
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
11
Ankle Joint
1.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.6K
Endocarditis IV: Nursing Management
15
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
15
Kidney Transplant III: Nursing Management
22
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
22


