相关实验视频

Updated: Jul 5, 2025

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

在整体关节关节整形术患者中维持手术优化

Matthew J Dietz¹, Edwin O Chaharbakhshi¹, Austin J Roberts¹

¹Department of Orthopaedics, Health Sciences Center, WVU School of Medicine, Morgantown, West Virginia.

The Journal of arthroplasty

|January 12, 2024

概括

整体关节整形术 (TJA) 的医疗优化显示,超过一半的患者在手术后的一年内得到改善. 然而,患有BMI在40-45之间的患者在手术前面临着BMI通过手术增加的风险.

科学领域:

整形外科手术整形外科手术
医疗优化医学优化
关节整形术的结果

背景情况:

越来越多地关注手术前的医疗优化,以提高整体关节整形术 (TJA) 的结果.
关于TJA患者在整个术后期持续优化关键参数的证据有限.

研究的目的:

为了评估在接受选择性全关节关节整形手术的患者中医疗优化的维持和丧失.
在整个外科手术时间表中确定影响优化状态的因素.

主要方法:

对877名TJA患者 (2015-2019) 的回顾性审查.
对BMI,HbA1c,血红蛋白,白蛋白和吸烟状况的医疗优化评估在初次诊所,手术前,手术前和手术后一年.
对优化时间,优化损失和优化维护的分析.

主要成果:

在9.5%-19%的患者中观察到各种参数的初始优化缺陷.
优化平均时间为187.7天;体重指数优化时间最长 (220.1天).
超过93.5%的患者在手术前和手术前的时间点之间保持或改善了优化;然而,手术前的BMI为40-45增加了手术后BMI恶化的风险.

结论:

在TJA程序中,外科医生主导的医疗优化可以在超过50%的患者中维持或改善手术后一年的优化.
手术前BMI在40至45之间的患者在手术当天面临着BMI增加的显著风险,这突出了干预的关键窗口.

关键词:

医疗优化医疗优化假肢关节感染假肢关节感染整体关节整形术整体关节关节整形术整体膝关节关节整形手术

更多相关视频

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

相关概念视频

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Knee Joint

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...