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在初级全关节整形手术中,双移动性植入物的早期生存率没有下降.

Anderson Lee1, Jaymeson Arthur1, Jawad Najdawi1

  • 1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Arthroplasty today
|July 29, 2024
PubMed
概括
此摘要是机器生成的。

在初级全关节整形术 (THA) 中,双流动性 (DM) 植入物显著降低了脱位率. 这项研究发现,DM植入物在一年的随访中提供了更好的安全性,而不会影响生存率.

关键词:
复杂性 复杂性 复杂性移动 移动 移动 移动 移动双重流动性的双重流动性整体关节整形术 关节整形术

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科学领域:

  • 整形外科手术 整形外科手术
  • 生物材料工程 生物材料工程

背景情况:

  • 双流动性 (DM) 植入物越来越多地用于初级全关节整形术 (THA).
  • 尽管DM植入物越来越受欢迎,但DM植入物的安全问题仍然存在.
  • 了解模块化DM植入物对患者结果的短期影响至关重要.

研究的目的:

  • 分析DM植入物在初级THA中的采用趋势.
  • 评估模块化DM植入物对脱位率的影响.
  • 评估模块化DM植入物对短期随访所有原因修订率的影响.

主要方法:

  • 对THA患者进行一次性后部治疗的回顾性研究 (2013年11月 - 2020年12月).
  • 排除用于骨折的初级THA.
  • 模块化DM植入队列与非DM植入队列的比较.

主要成果:

  • 机构采用DM植入物的比例从3.4% (2013) 增加到47.1% (2020).
  • 植入的DM显示出明显较低的脱位率 (0.14%对0.84%,P=.04).
  • 在DM和非DM组之间,在一年的随访后,所有原因的修订率在DM和非DM组之间是相似的 (2.49%对2.72%,P=.74).

结论:

  • 在初级THA中模块化DM植入物的利用率稳步增加.
  • 脑膜炎植入物与脱率的降低和一年后可比的存活率有关.
  • 需要进行更长期的研究来确认DM植入物的安全性和有效性.