在瑞典选择性全关节置换后的真实脱位发生率:它与修订率有什么关系?
Peter H J Cnudde1,2,3,4, Jonatan Nåtman1, Ola Rolfson1,4
1Swedish Arthroplasty Register, Registercentrum Västra Götaland, 413 45 Gothenburg, Sweden.
Journal of clinical medicine
|January 26, 2024
概括
在全关节整形术 (THA) 后的累积脱位发生率高于修复率. 许多患者不止一次脱而出,但很少有人因为脱而接受修复手术.
科学领域:
- 整形外科手术 整形外科手术
- 关节塑造研究 关节塑造研究
- 流行病学 流行病学
背景情况:
- 在基于人群的研究中,在全关节整形术 (THA) 后确定真正的脱位发病率是具有挑战性的.
- 以前的研究还没有完全阐明影响THA后脱位或修复手术的因素.
研究的目的:
- 为了调查THA后的累积脱位发病率 (CDI).
- 分析脱和修复手术之间的关系.
- 在经历单次或多次脱位的患者中探索患者和手术相关因素.
主要方法:
- 使用链接注册的观察纵向队列研究.
- 包括在1999年至2014年期间接受选择性单边THA治疗的患者.
- 卡普兰-梅尔法估计CDI和时间到位或修订.
主要成果:
- 对136810名THA患者的分析.
- 估计30天的CDI为0.9%;失调的修订率明显较低.
- 51.2%的脱患者在一年内出现了复发性脱;只有10.9%的患者进行了脱修复.
结论:
- 选择性THA后的CDI明显高于修订发生率.
- 需要进一步的研究来了解单个和多个脱位器之间的差异.
- 在脱后提供修复手术的标准需要进一步调查.
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