在修订中评估和管理骨骨损失 整体关节整形术:十年更新
Sahil A Sanghavi1, Wayne G Paprosky, Neil P Sheth
1From the Department of Arthroplasty, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India (Sanghavi), Department of Orthopaedic Surgery, RUSH University Medical Center, Chicago, IL (Paprosky), Department of Orthopaedic Surgery, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, PA (Sheth).
关节骨损失在关节修复手术中提出了挑战. 当代技术越来越多地使用多孔植入物和增强器进行成功的重建,远离固的方法.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 放射学 放射学是一门学科.
背景情况:
- 在修复关节整形术中,骨骨损失是一个复杂的挑战.
- 帕普洛斯基分类仍然是术前评估的标准.
- 放射性评估对于诊断骨质损失和骨盆断裂至关重要.
研究的目的:
- 在过去的十年里,审查当代的重建技巧,以缓解骨骨损失.
- 要突出研究中长期跟进.
- 介绍常见重建方法的优点,缺点和原则.
主要方法:
- 对文献的审查,重点是对acetabular修订手术技术.
- 对具有中长期随访数据的研究进行分析.
- 混凝土与非混凝土重建选项的比较.
主要成果:
- 减少使用混凝土重建技术.
- 越来越多地采用高度多孔的半球外与模块化的多孔金属增材.
- 提供各种非水泥化选项,包括杯和acetabular分心.
结论:
- 高度多孔的植入物和增强物对大多数骨修改是有效的.
- 非水泥技术为复杂的骨损失提供了多样化的解决方案.
- 骨分心是一种治疗慢性骨盆断续的新方法.
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