可见流体运动对操纵作为手术内确定的膝关节关节整形部件松动的新门:Delphi研究
George S Buijs1,2, Arthur J Kievit1,2, Alex B Walinga1,2
1Department of Orthopedic Surgery and Sport Medicine, Amsterdam UMC, Location AMC, Amsterdam, The Netherlands.
概括
在膝关节修复外科医生之间达成共识,定义了手术内确定的部件松. 在特定的运动或温和的力量中,在接口上可见的流体运动现在是膝关节关节整形部件松动的标准定义.
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
- 医疗器械研究 医疗器械研究
背景情况:
- 膝关节关节整形部件松动的术内评估缺乏标准化的定义.
- 这种模糊性使得诊断研究结果的解释和比较变得复杂.
研究的目的:
- 在专门的膝关节修复外科医生之间就术内确定的松的定义建立共识.
- 为在手术期间评估膝关节关节整形组件稳定性创建统一的标准.
主要方法:
- 在一个由膝关节修复外科医生组成的国际小组中,采用了德尔菲共识方法.
- 一个三轮的过程涉及开放式问题,利克特级别评分,以及在定义上建立共识.
- 超过70%的参与者将共识定义为同意.
主要成果:
- 34名外科医生参与,产生了60个初始标准,34人达到了共识.
- 提出了四个定义,88%的人同意一个关键标准.
- 一个组件被认为是松散的,如果在特定运动或温和的直接力时在接口上观察到可见的流体运动.
结论:
- 成功地建立了一种对手术内确定的膝关节关节整形部件松的共识定义.
- 基于可见流体运动的新定义为未来的研究提供了标准化的参考.
- 这种标准化将提高组件松动的诊断研究的可解释性和可互换性.
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