在全关节整形术期间,减轻骨骨折风险与自动冲击
Dan Gordon1, Justin M Cardenas2, David Fawley3
1Baylor University Medical Center, 3500 Gaston Ave, 6th Floor Hoblitzelle, Dallas, TX 75246, USA.
Journal of orthopaedics
|October 1, 2024
概括
在全关节整形术 (THA) 中,自动突破的骨折率为1.1%,大多数骨折发生在茎插入过程中,而不是突破. 手动插入树干,当插头接触石可以减轻这种风险.
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
- 外科手术的安全性
背景情况:
- 自动伸展是关节整形术 (THA) 中的一种新技术,旨在提高手术效率.
- 人们对自动冲孔的安全性存在担忧,特别是石骨折的风险.
- 关于在此过程中发生骨折的发生率和原因的数据有限.
研究的目的:
- 评估与THA中自动开口相关的骨骨折的发生率.
- 为了确定骨折是否发生在开口或茎插入阶段.
- 确定减轻骨骨折风险的策略.
主要方法:
- 审查了使用自动化影响的1596个单方面THA的潜在机构数据库.
- 分析了骨折的发生率,区分了口和茎插入事件.
- 两组小组进行了比较:自动插入干与修改后的手动插入技术,如果发生了直接的门-鱼接触.
主要成果:
- 观察到1.1%的整体手术内骨折发生率.
- 在茎插入 (0.9%) 期间,骨折的发生率明显高于自动伸展 (0.1%) (p=0.007) 期间.
- 经过修改的茎插入技术显示,骨折率下降的趋势 (0.6%对1.4%).
结论:
- 在THA中,自动冲击的骨骨折的发生率与历史率相比较.
- 石灰石骨折主要与茎插入阶段有关,而不是口阶段.
- 建议在有直接的突破口 - 石灰岩接触的情况下进行手动茎冲击,以最大限度地降低骨折风险.
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