[在慢性部感染中,部分成分的交换]
W F Martínez1,2, F Tillet1,3, E J Bochatey1,4
1Grupo GRECARO. Buenos Aires, Argentina.
Acta ortopedica mexicana
|May 23, 2024
概括
在慢性感染的关节修复手术中保留固定植入物组件是一个可行的选择,当骨质损失显著时. 这种方法显示,在一个小患者系列中,感染复发率为16.6%.
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
- 生物材料科学 生物材料科学
背景情况:
- 慢性关节假肢感染往往需要修复手术,一或两阶段的总修复是标准.
- 移除固定假肢部件可能会导致严重的宿主骨损伤,使再植入复杂化.
- 需要采用替代策略来管理具有大量骨损失的复杂病例.
研究的目的:
- 评估在患有慢性周围假肢部感染的患者中保存一个固定假肢部件的有效性.
- 评估该患者队列中的临床结果和感染复发率.
主要方法:
- 一系列12名患有关节整形和慢性周围假肢感染的患者接受了部分置换,保留固定部件.
- 程序是在2015年6月至2021年1月期间进行的,随访时间至少为2年.
- 用临床检查,哈里斯部评分和实验室/放射学研究来评估结果.
主要成果:
- 平均随访时间为4.08年,两名患者 (16.6%) 经历了感染复发.
- 哈里斯部平均分数在最终评估时提高到63.6分.
- 没有患者丢失到随访,确保完整的数据完整性.
结论:
- 保持固定植入物组件可以成为慢性周围假肢部感染的可接受治疗方法,特别是当骨损失影响标准修订时.
- 这种方法可以减轻与广泛的骨切除相关的风险,并促进假肢再植入.
- 需要进一步的研究来验证这种治疗策略,并确定长期的结果.
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