在水泥和无水泥INFINITY全脚假肢之间比较放射性基板松动率
Ian Daniel Millstein1, Manisha Koneru1, John Epoh Dibato2
1Cooper Medical School, Rowan University, Camden, New Jersey.
Foot & ankle specialist
|April 27, 2024
概括
混凝土和无混凝土的全脚置换显示了类似的周围假肢放射性率. 这表明植入物固定方法可能不会显著影响脚骨关节炎手术中的早期放射性.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料工程 生物材料工程
背景情况:
- 完全关节置换 (TAR) 解决了最终阶段的关节骨关节炎.
- 周围假肢的辐射亮度可能表明假肢失效的风险.
- 水泥固定是一种减轻放射性发光的潜在方法.
研究的目的:
- 为了比较水泥和无水泥INFINITY全脚系统植入物之间的周围假肢辐射发光率.
- 评估凝固对TAR早期放射性结果的影响.
主要方法:
- 对28名用INFINITY系统接受TAR的患者的回顾性分析 (2016年1月至2022年5月).
- 两位独立审稿人对前后,体和侧脚X射线进行了放射性审查.
- 评估骨角,骨倾斜和周围假肢的辐射发光度;使用威尔科克森等级和奇平方测试进行统计分析.
主要成果:
- 在化和无化组之间,周围假肢辐射发射率没有显著差异 (57.1%).
- 值为1.0的P值表明无辐射发光度的统计差异.
- 随访后的骨和骨倾斜角度在两组之间也没有显著差异 (P > .51).
结论:
- 与无水泥植入物相比,水泥整体脚假肢显示出类似的周围假肢辐射发光率.
- 早期的放射性发现表明,在减少放射性发光度方面,水泥凝固没有显著的优势.
- 对长期临床结果的进一步研究是必要的,以指导脚假肢的最佳手术技术.
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