早期的无菌部松动是现代两无水泥全膝关节关节整形设计的一个关注点
Joseph T Gibian1, William A Zuke1, Hunter Hood1
1Division of Adult Reconstruction, Washington University in St Louis School of Medicine, St Louis, Missouri.
The Journal of arthroplasty
|September 22, 2024
概括
现代无水泥全膝关节整形术 (TKA) 显示了与水泥TKA相似的患者结果,但具有更高的早期骨松率. 这突显了在膝关节置换手术中对无水泥设计的潜在担忧.
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
背景情况:
- 现代无水泥全膝关节整形 (TKA) 设计与早期版本相比显示出更好的结果.
- 在历史上,水泥TKA一直是标准,但无水泥的选择正在获得引力.
研究的目的:
- 为了比较患者报告的结果指标 (PROM) 和早期无菌修订率.
- 为了评估一个特定的无水泥TKA设计,与其水泥对应物相比,具有双的骨.
主要方法:
- 无水泥和水泥TKA的回顾性案例系列 (2018年11月-2022年3月).
- 最少一年的随访,收集人口统计,并发症和修订数据.
- 评估牛津膝关节评分和遗忘关节评分;针对特定无案例进行放射检查.
主要成果:
- 分析了329个无水泥和349个水泥的TKA,平均随访时间为1.9年和2.6年.
- 在队列之间,PROM或整体无菌修订率没有显著差异.
- 在无水泥TKA中,骨无菌松动率较高 (2.7%与0%,P=0.002).
结论:
- 无水泥TKA (2018年重新引入) 提供与水泥TKA相比的一年PROM.
- 在没有水泥的队列中观察到早期骨松的显著增加.
- 对无固定策略的进一步调查是有必要的.
相关概念视频
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A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
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Ankle Joint
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Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...


