在无水泥全关节整形手术中,遗忘关节得分与假肢重量相关:一项前性临床研究
Huiliang Zeng1,2, Ping Li3, Wenjun Feng4
1The First Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Frontiers in surgery
|August 14, 2024
概括
在关节整形术 (THA) 中,尽量减少关节假肢和切除骨头之间的重量差异可以改善患者的治疗结果. 较大的体重差异与手术后部意识和功能较差相关.
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
- 患者研究成果研究结果
背景情况:
- 无水泥全关节整形手术 (THA) 涉及用植入的假肢取代骨.
- 移除的骨头和植入的假肢之间的体重差异是影响患者满意度的潜在因素.
研究的目的:
- 为了研究植入假肢和切除骨头之间的体重差异对部意识和患者报告的无THA后结果的影响.
主要方法:
- 在48名患者 (56名部) 的前性研究中,他们接受了初级的THA.
- 植入的假肢和切除的骨的手术内称重.
- 忘记联合得分 (FJS) 和西部安大略省和麦克马斯特大学 (WOMAC) 在手术前和手术后1个月和3个月的评价.
- 根据体重差异百分位数对患者进行分组.
主要成果:
- 平均重量差异为117.97 ± 47.35g.
- 体重差异和1个月和3个月后手术后的FJS之间的负相关性 (r=-0.331,r=-0.734).
- 体重差异和手术后3个月的WOMAC之间的正相关性 (r=0.403).
- 与A组 (体重差异最小) 相比,C组 (体重差异最大) 的FJS得分明显较低,WOMAC得分较高,3个月后.
结论:
- 植入的假肢通常比在无水泥THA中移除的骨头大.
- 体重差异与部功能和意识有负相关性.
- 尽量减少体重差异对于优化关节意识和患者结果至关重要.
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