用于肘部感染的抗生素水泥间隔器的并发症
Kun-Hui Chen1, Jorge Rojas Lievano2, Ausberto R Velasquez Garcia3
1Department of Orthopedics, Mayo Clinic, Rochester, MN, USA; Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Journal of shoulder and elbow surgery
|April 10, 2024
概括
手工制作的抗生素肘部间隔器,用于关节感染,具有独特的并发症. 连接的间隔器可能会失效,而非连接的间隔器往往会移位,需要外科医生仔细考虑.
科学领域:
- 整形外科手术 整形外科手术
- 传染病管理 传染病管理
背景情况:
- 抗生素水泥间隔器对于治疗关节感染至关重要,但缺乏针对肘部的商业选择.
- 外科医生使用各种材料创建定制的肘间隔器,从而产生各种结构设计.
- 对于最佳的肘间隔设计没有达成共识,研究也没有探索与特定手工结构相关的并发症.
研究的目的:
- 分析与不同的静态手工抗生素肘间隔器设计相关的并发症.
- 为了比较链接和非链接间隔器类型之间的并发症率.
- 通过突出结构特定的风险来告知外科选择.
主要方法:
- 55名78名静态抗生素水泥间隔器患者的回顾性审查 (1998-2021年).
- 间距器的分类为"连接" (大腿骨-大骨连接) 和"不连接"类别.
- 分析并发症 (轻微/重大) 和从图表审查和X射线重新操作的分析.
主要成果:
- 在78名间隔器中发生了23种并发症,17种小并发症和6种大并发症.
- 间隔器位移是非连接间隔器 (IM ,珠子,帽子) 中最常见的问题.
- 连接的间隔器显示了主要的并发症,如周围假肢骨折和断裂;不连接的间隔器有位移问题.
结论:
- 静态手工制造的抗生素肘间隔器具有独特的,与结构相关的并发症.
- 连接间隔器的并发症涉及连接机制的故障; 不连接间隔器通常会发生位移.
- 外科医生在选择抗生素间隔器时必须考虑特定的间隔器设计及其相关风险.
相关概念视频
01:17Chronic Bowel Disorders: Introduction
449
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
449
01:26Tonsillitis II: Management
110
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
110
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
173
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
173
01:30Bacterial Signaling
32.1K
Bacterial signaling can occur within bacteria (intracellular) or between bacteria (intercellular). At times, a group of bacteria behaves like a community. To achieve this, they engage in quorum sensing, the perception of higher cell density that causes changes in gene expression. Quorum sensing involves both extracellular and intracellular signaling. The signaling cascade starts with a molecule called an autoinducer (AI). Individual bacteria produce AIs that move out of the bacterial cell...
32.1K
01:30Esophageal Strictures-I: Introduction
88
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
88
01:26Endoscopic Procedures V: ERCP
208
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
208