在败血症条件下骨巩固和硬件保留:大约69名患者
Alizé Dabert1, Adrien Runtz1, Grégoire Leclerc1
1Service d'Orthopédie, de Traumatologie, de Chirurgie Plastique, Reconstructrice et Assistance Main, Université de Franche-Comté, Faculté de Médecine et CHU de Besançon LNIT (UR 4662), F-25000 Besançon, France.
Orthopaedics & traumatology, surgery & research : OTSR
|July 19, 2024
概括
随着内部固定硬件的到位,即使在骨关节感染 (BJI) 期间,也可以实现骨巩固. 这项研究发现73.5%的愈合率,表明硬件保留是BJI的可靠治疗选择.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 生物材料科学 生物材料科学
背景情况:
- 管理内部固定硬件感染是具有挑战性的.
- 保持硬件的骨关节感染 (BJI) 需要复杂的治疗策略.
- 这项研究研究了在败血症条件下与硬件保留的骨巩固率.
研究的目的:
- 评估与硬件保留治疗的BJI患者的骨巩固率.
- 确定非整合的风险因素,并评估功能结果.
- 确定是否存在超出硬件保留不建议的时间限制.
主要方法:
- 对69名患有固定后感染的患者 (年龄大于15岁) 进行了回顾性观察性研究.
- 收集的数据包括骨折类型,吸烟,手术时间,硬件和灌.
- 通过X射线/CT评估骨愈合;在随访时评估功能结果.
主要成果:
- 在平均24周内,观察到骨愈合率为73.5% (50/68名患者).
- 修订时间没有显著影响整合利率.
- 吸烟,较长的初始手术和Gustilo IIIb/IIIc型骨折是非巩固的危险因素.
结论:
- 骨巩固可靠且直接在败血症条件下进行,硬件保留,遵循既定的协议.
- 硬件保留并没有导致额外的发病率.
- 没有确定过硬件保留阻止愈合的具体时间限制.
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