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外科医生体积对切割关节整形术后机械并发症的影响

Chih-Yuan Ko^1,2, Chun-Hao Tsai^1,3, Yi-Chin Fong^1,3

¹Department of Orthopedics, China Medical University Hospital, Taichung 40447, Taiwan.

Journal of personalized medicine

|May 25, 2024

概括

高体积的外科医生显著减少机械并发症和重复手术在假肢膝关节感染修复手术使用关节间隔器. 低体积外科医生面临更高的并发症率,强调需要专业经验.

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
生物材料工程生物材料工程

背景情况:

慢性假肢膝关节感染 (PKI) 管理通常涉及两阶段的修订,使用带有抗生素的水泥关间隔器.
间隔期内的机械并发症是令人担忧的,对外科医生体积的影响数据有限.

研究的目的:

在切除关节整形术 (RA) 后与高体积 (HV) 和低体积 (LV) 外科医生之间的关节间隔器进行比较,以比较机械并发症和重新操作率.
为了确定机械故障的风险因素在RA与关节间隔器.

主要方法:

对203名患有PKI的患者进行了回顾性分析,这些患者接受了关节间隔器的RA.
患者按外科医生体积分层:HV (≥14 RAs/年) 与LV (<14 RAs/年).
机械并发症和重新运行率的比较;机械故障的风险因素分析.

主要成果:

高压外科医生 (n=105) 的机械并发症率明显低 (3.8%),低于低压外科医生 (n=98) 的机械并发症率 (36.7%) (p < 0.001).
机械并发症的重复手术率也较低HV外科医生 (0.9%) 与LV外科医生 (24.5%) (p < 0.001).
在47.2%的病例中,机械间距器的故障导致了链膝关节的要求;特定的部不对齐和缺少茎延伸被确定为危险因素.

结论:

高体积的外科医生在管理假肢膝关节感染的关节间隔器方面表现出卓越的结果,显示出较低的并发症和重新手术率.
机械并发症需要在最后的修复膝关节关节整形术中增加约束.
外科医生必须避免骨间隔器位差和复发性形,并始终使用骨间隔器的水泥茎延伸.

关键词:

关节间隔器关节间隔器大量的高容量.低体积的低体积的低体积机械并发症机械并发症假肢膝盖感染的感染切除术关节塑形术

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