在结核性关节炎中全关节整形术的功能结果:一项前性研究
Narendra Singh Kushwaha1, Dharmendra Kumar1, Ravindra Kumar Gupta1
1Professor, Department of Orthopaedic Surgery, King George's Medical University, Lucknow, UP, India.
Journal of clinical orthopaedics and trauma
|February 2, 2024
概括
全关节整形术 (THA) 有效治疗活跃的结核关节关节炎,改善功能和关节运动. 这项研究没有发现结核病的重新激活,这表明THA是先进病例的安全可靠选择,并提供适当的抗结核疗法.
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
- 类风湿病学 类风湿病学
背景情况:
- 对于已治愈的结核性关节关节炎,已建立全关节整形术 (THA).
- 它在活跃结核病中的有效性仍在争论中.
- 这项研究评估了THA在活跃结核性关节关节炎的结果.
研究的目的:
- 为了研究THA在晚期关节炎的活跃结核病中的功能结果.
- 评估THA后肺结核再激活的风险.
- 在这个患者队列中评估术后并发症.
主要方法:
- 20名患有活跃结核性关节关节炎的患者的前性队列研究 (2018-2020年).
- 术前和术后生化,临床和放射学评估.
- 在1-3年随访后,使用哈里斯关节评分 (HHS) 评估功能结果.
主要成果:
- 生物化学参数和关节运动范围的显著改善 (p < 0.0001).
- 消除手术前曲形和减少腿部缩短.
- 植入物稳定,术后没有观察到结核病重新激活的病例.
- 平均哈里斯部分数在随访期间显著增加 (p < 0.0001).
结论:
- 整体关节整形术是积极的晚期结核性关节关节炎的可靠治疗方法.
- 通过适当的术前和术后抗结核疗法 (ATT),可以获得良好的功能结果.
- 在这个队列中,THA证明了安全性,没有观察到结核病的重新激活.
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