对于部或膝盖败血性关节炎的两阶段全关节置换:创伤后病因和难以治疗的感染预测了不良结果
Antonio Russo1, Filippo Migliorini2,3, Fortunato Giustra1,4
1Centro Traumatologico Ortopedico (CTO), Department of Orthopaedic Surgery, University of Turin, Via Gianfranco Zuretti, 29 10126, Turin, Italy.
Archives of orthopaedic and trauma surgery
|March 2, 2024
概括
对性关节炎 (SA) 的两阶段全关节置换 (TJR) 显示出良好的中期结果,改善功能和成功率. 难以治疗的感染和创伤后原因预测部和膝盖SA患者的治疗失败.
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
- 关节质整术是指关节质整术.
背景情况:
- 败血性关节炎 (SA) 是一个重大的骨科挑战,影响患者的生活质量.
- 双阶段全关节置换 (TJR) 是复杂的SA病例的治疗选择.
研究的目的:
- 为了评估部和膝盖SA的两阶段TJR的临床结果.
- 为了确定SA的两阶段TJR接受的患者治疗失败的预测因素.
主要方法:
- 一个前性收集的关节塑造注册表 (2012-2019) 的回顾性分析.
- 包括患有部或膝盖SA的患者,接受两阶段TJR,随访时间≥2年.
- 收集和统计分析人口统计,手术和结果数据.
主要成果:
- 114名患者 (61名部,53名膝盖SA) 平均随访时间为72.8个月.
- 在术后,关节社会得分 (HHS) 和膝关节社会得分 (KSS) 的显著改善.
- 总体成功率为89.5%;21%的人经历了非修订并发症. 对甲素敏感的金黄色葡萄球菌 (MSSA) 是最常见的病原体.
- 难以治疗 (DTT) 感染和创伤后病因预测治疗失败.
结论:
- 两阶段TJR为部和膝盖SA提供了有利的中期临床结果.
- 该程序显著提高了功能分数,并实现了高的成功率.
- 在接受TJR的SA患者中,DTT感染和创伤后病因与治疗失败的风险增加有关.
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