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无水泥全膝关节整形:年龄会影响生存率和结果吗?

Adit R Maniar¹, James L Howard¹, Lyndsay E Somerville¹

¹Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, Ontario, Canada.

The Journal of arthroplasty

|April 16, 2024

概括

无水泥全膝关节整形术 (TKA) 在所有年龄组 (包括70岁以上的年龄组) 中显示了可比的短期结果和生存率. 这项研究在347名患者中没有发现无菌松动的修订,这表明无TKA是老年人安全的选择.

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
老年医学老年医学

背景情况:

无水泥全膝关节整形术 (TKA) 在年轻患者中越来越多地使用.
在老年人群中,无水泥TKA的结果仍然不太清楚.
这项研究调查了不同年龄的人群中无水泥TKA的疗效.

研究的目的:

为了比较不同年龄组的无TKA的临床结果和生存率.
在70岁以上的患者中评估无TKA的安全性和有效性.
为在老年患者队列中使用无TKA提供证据.

主要方法:

从前性收集的数据库中对347个初级无水泥TKA进行了回顾性审查.
患者被分为三个年龄组:≤60,60-70,和>70岁.
临床结果 (KSCRS,WOMAC,VR-12) 和生存率在各组之间进行了比较.

主要成果:

年龄组之间在运动范围,KSCRS,WOMAC或VR-12物理得分上没有显著差异.
在60-70岁和70岁以上的患者中,与≤60.0的患者相比,观察到更高的VR-12精神评分.
在任何患者中都没有发生过无菌松动的修订,这表明早期的生存率很好.

结论:

无TKA在所有研究年龄组中表现出可比的短期临床结果.
没有报告过无菌松动修订,这表明无水泥TKA是老年患者的安全程序.
虽然需要更长期的数据,但早期结果支持无水泥TKA作为老年人可行的选择.

关键词:

年龄的年龄年龄的年龄.没有水泥的无水泥.结果就是结果.幸存者幸存者幸存者整体膝关节关节整形手术

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