索夫科特-雷纳科特 2024 关节假肢注册表告诉我们什么?
Christian Delaunay1, Christian Brand2, Antoine Poichotte1
1RENACOT, 56, rue Boissonade, 75014, Paris, France.
Orthopaedics & traumatology, surgery & research : OTSR
|September 15, 2024
概括
法国关节假肢注册表显示,虽然非水泥固定正在增加,但双流动性杯和重新表面提供了良好的结果. 传统的金属对金属轴承也显示出出色的长期结果.
科学领域:
- 整形外科 整形外科 整形外科
- 生物材料是一种生物材料.
- 外科手术的结果
背景情况:
- 法国骨科和创伤手术学会 (SOFCOT) 多中心关节假肢 (HP) 登记册自2006年以来一直在收集数据.
- 这项长达18年的分析提供了对法国关节整形趋势和植入物性能的见解.
研究的目的:
- 为了分析来自SOFCOT关节假肢登记册的18年数据.
- 评估法国关节整形技术的发展和植入物性能.
主要方法:
- 分析了截至2023年12月记录的58,314次初级关节假肢和5,853次首次重复手术.
- 计算每年观察到的100个组件 (RCOY) 的修订指数,以比较植入物性能.
- 数据包括植入物类型,固定方法,患者人口统计和修改原因.
主要成果:
- 所有初级HP的RCOY在5.4年平均随访时为0.25.
- 修订原因包括脱位 (24.6%),周围假肢骨折 (22.5%),无菌松动 (13.3%) 和感染 (13%).
- RCOY因植入物类型 (双流动性杯: 0.23,短茎: 0.25,重新表面: 0),固定方法 (水泥: 0.21,非水泥: 0.29) 和轴承表面 (金属-金属: 0.12,-: 0.29) 而有所不同.
结论:
- 与水泥固定相比,非水泥部固定越来越多地使用,尽管RCOY比水泥固定更高.
- 双流动性杯,重新表面和传统的金属金属轴承显示出有利的结果.
- 通过临床监测和PROMs增强的SOFCOT注册表将改善未来的骨科数据收集.
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