模块化部适配器在部部分修复中的有用性
Andrea Pautasso1, Giuseppe Bardellini2, Placido Stissi1
1Orthopaedic and Traumatology Department, ASST Sette Laghi, Circolo Hospital and Macchi Foundation in Varese, University Center, Varese, Italy.
Annals of joint
|March 26, 2024
概括
模块化部适配器为全关节整形术 (THA) 修复提供了安全快速的解决方案,特别是对于反复发生的位和骨杯问题,结果良好,并发症率低.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 关节塑形研究研究
背景情况:
- 模块化部适配器促进长度和偏移的调整,以实现稳定的全关节整形术 (THA).
- 这些设备可以在不去除现有部件的情况下快速进行部分部修复.
- 关于这些模块化系统的长期结果的文献有限.
研究的目的:
- 审查当前关于模块化部适配器在部分整部关节整形修改 (THAr) 的文献.
- 专注于这些设备的指示,临床和放射性结果以及与这些设备相关的并发症.
主要方法:
- 在2000年1月1日至2022年12月1日之间发表的文学作品的叙事评论.
- 在电子数据库中搜索了诸如"头缩"和"Merete BioBall"等术语,并与"修订全关节整形术".
- 包括对梅雷特BioBall系统在部修复手术中的研究,不包括模块化干假体.
主要成果:
- 这种手术程序是安全的,快速的,并允许纠正茎的版本,长度和偏移,以及软组织的紧张.
- 临床和放射性结局通常良好,并发症率较低.
- 该系统对于反复出现的THA脱位是有效的,特别是在第二次修复手术中,以及对于孤立的骨杯修复.
结论:
- 模块化部适配器是THA修复的可行外科选择,特别是在反复发生的脱位和acetabular组件问题.
- 潜在的并发症包括由于纠正不充分而导致的重新脱位 (5.2%15%),但没有报告腐蚀或纹.
- 主要指示仍然是隔离的乙肌杯修订,提供了一个不那么侵入性的修订策略.
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