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由于感染而进行的逆肩关节整形术后的检查结果
Payton Yerke Hansen1, Clyde Fomunung2, Alessia Lavin2
1Charles E. Schmidt College of Medicine Florida Atlantic University, Boca Raton, FL, USA.
Journal of shoulder and elbow surgery
|April 10, 2024
概括
针对感染的复查逆肩关节整形术 (rRSA) 显示了与非感染性复查相似的结果. 患者报告的结果和修订率相似,表明感染不会对rRSA结果产生负面影响.
科学领域:
- 整形外科手术 整形外科手术
- 关节塑造研究 关节塑造研究
- 在外科手术中控制感染.
背景情况:
- 修复逆肩关节整形手术 (rRSA) 是一个复杂的手术,感染会带来很大的风险和成本.
- 初级RSA感染率在1%至19%之间,往往需要多次修复手术.
研究的目的:
- 为了比较术后结果,并发症和由于感染而导致的rRSA的修订率与非传染性原因.
- 评估感染是否显著影响修复逆肩关节整形术的成功.
主要方法:
- 在2009-2020年期间接受rRSA治疗的93名患者的回顾性分析.
- 患者分为感染 (rRSAi) 和非传染性 (rRSAn) 队列.
- 收集患者报告的结果 (PROs) 和运动范围 (ROM) 在手术前和1年随访时.
主要成果:
- 在rRSAi和rRSAn组之间,在手术前或手术后的PRO和ROM中没有显著差异.
- 术后并发症的发生率在两个队列之间是可比的.
- 由于感染而导致的rRSA的修订率与非传染性原因相比也相似.
结论:
- 由于感染的RSA产生了与非传染性原因的rRSA相似的患者结果和修订率.
- 尽管存在挑战,但感染似乎与非传染性原因相比没有对rRSA的结果产生负面影响.
- 需要进一步的研究来探索影响rRSA结果的患者和植入物特定因素.
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