骨关节炎的关节置换后的高热血症和术后关节症状
Jennifer Livschitz1, Ezzeddine Elmir2, Xuerong Liu3
1Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
The Journal of surgical research
|July 21, 2024
概括
高血症没有影响关节或膝关节置换手术后的结果. 然而,许多高血症患者可能有未诊断的原发性甲状腺功能障碍症,在关节塑形手术前需要进一步调查.
科学领域:
- 整形外科 整形外科 整形外科
- 内分泌学 在内分泌学.
- 代谢性骨疾病 代谢性骨疾病
背景情况:
- 原发性甲状腺功能障碍症 (PHPT) 可能导致代谢失调和冠状腺,导致关节疼痛.
- 过血症对关节疼痛和关节塑形术结果的影响尚不清楚.
- 这项研究研究了手术前高血症与关节全切术 (THA) 和膝关节全切术 (TKA) 后的结果之间的关联.
研究的目的:
- 在接受THA或TKA的患者中调查术前高血症和术后结果之间的关联.
- 为了比较功能结果,并发症,再入院和高血症和正常血症患者的住院时间.
主要方法:
- 对接受选择性THA或TKA的患者的回顾性图表审查.
- 超血症 (血清>10.2 mg/dL) 和正常血症患者的匹配比较.
- 在基线和1年术后使用验证的调查 (HOOS,KOOS) 评估功能结果.
主要成果:
- 在高血和正常血组之间没有观察到功能结果 (HOOS,KOOS),并发症,再入院或停留时间的显著差异.
- 包括106例高血病病例和389个匹配的对照,其中包括223例THA和272例TKA手术.
- 只有18%的高血患者有甲状腺上腺激素 (PTH) 水平测量,其中47%的人显示可能的PHPT.
结论:
- 超血症似乎不会对关节塑形术后的功能性或术后结果产生负面影响.
- 在接受关节塑形手术的高血症患者中,很大一部分可能患有未被诊断的原发性甲状腺功能障碍症.
- 建议在关节塑形手术前对高血患者进行PHPT的研究,并进一步研究PHPT的特定影响.
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