骨质疏松症和水泥使用在全关节整形术中
Zhaorui Wang1, Mark D Wishman2, Teerapat Tutaworn3
1Weill Cornell Medical College, 1300 York Ave., New York, NY, USA.
概括
接受全关节整形术 (THA) 的患者面临更高的骨质疏松症相关骨折风险. 尽管如此,他们并没有增加对代谢性骨疾病的查或治疗,这表明在护理方面可能存在监督.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 放射学 放射学是一门学科.
背景情况:
- 在关节整形术 (THA) 中使用水泥正在增加.
- 与骨质疏松症相关的骨折风险在化与未化的THA患者中尚不清楚.
研究的目的:
- 为了分析代谢性骨护理和骨质疏松症骨折风险,在水泥化与非水泥化THA患者中.
- 使用FRAX得分和X光骨测量进行风险评估.
主要方法:
- 对250名THA患者的回顾性图表审查.
- 在混凝土和非混凝土组之间比较人口统计,FRAX分数,放射测量和骨质疏松症管理.
- 后勤回归用于识别影响水泥使用的因素.
主要成果:
- 凝固THA患者的骨质疏松症相关骨折风险显著增加 (FRAX主要:20%对13%;FRAX部:8%对5%).
- 在骨质疏松症治疗,补充剂或基于水泥状况的查方面没有发现显著差异.
- 女性性别和类风湿性关节炎预测了水泥的使用,但FRAX得分没有. 50%的Dorr C分类患者接受了非水泥植入物.
结论:
- 接受THA治疗的患者,特别是患有骨质疏松症高风险的患者 (以FRAX分数或Dorr分类表示),可能会忽略骨折风险.
- 凝固的THA患者面临骨折风险增加,而骨质疏松症查或治疗的相应增加没有.
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