在40岁以上的患者中用围骨架切除治疗的部发育不良症:系统性审查
Kyle P O'Connor1, Deniz J Ince1, John C Clohisy1
1Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
The Iowa orthopaedic journal
|June 26, 2024
概括
周周骨架骨切除术 (PAO) 对40岁以上的部发育不良患者,特别是那些没有明显的骨关节炎的患者,显示出积极的结果. 建议对这种部保护手术进行仔细的患者选择.
科学领域:
- 整形外科 整形外科 整形外科
- 护手术 护手术
- 系统审查是系统的审查.
背景情况:
- 部发育不良是部骨关节炎的主要原因.
- 周围骨切除术 (PAO) 对患有关节发育不良的年轻患者是有效的.
- 对于40岁以上患者的PAO存在有限的证据,这引发了对结果和需要关节置换的担忧.
研究的目的:
- 系统地审查40岁以上的患有部发育不良的患者周围骨切除术 (PAO) 的结果.
- 分析患者人口统计数据,报告的结果,以及在这个较老的队列中PAO后的生存率.
- 在40岁以上的患者中,评估PAO后全关节整形术的风险.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 搜索了多个数据库,包括PubMed,Medline,SCOPUS,Embase,Cochrane图书馆和clinicaltrials.gov.gov. 这些数据库.
- 包括基于预定义的纳入和排除标准选的研究.
主要成果:
- 分析了5项涉及335个部 (平均年龄为43.5-47.2岁) 的研究.
- 平均随访时间为4至10.8年;大多数患者患有最小的骨关节炎 (托尼斯等级0-1).
- PAO的存活率为67-100%,并发症发生在2-36%的病例中,没有一个具有持久影响. 结果总体上是好的,尽管与年轻人群的比较是矛盾的.
结论:
- 40岁以上的部发育不良患者可以通过PAO获得积极的结果,特别是如果选择了最小的骨关节炎和良好的健康状况.
- 对于40岁以上的患有部发育不良但没有关节炎的患者,可以考虑选择PAO.
- 在老年人中,推使用非常有选择性的指示来进行骨骨切除术.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
08:40Author Spotlight: A Novel 3D-Printed Titanium Implant for Minimally Invasive Treatment of Hip Dysplasia in Young Dogs
Published on: April 19, 2024
2.1K
相关概念视频
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:29Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...