微弱的敲击声音与手术后沉降有关,在无水泥全关节整形术中
Yasuhiro Homma1,2, Ken Tashiro3, Ryuji Okuno3
1Department of Medicine for Orthopaedics and Motor Organ, Juntendo University Graduate School of Medicine, Tokyo, Japan. yhomma@juntendo.ac.jp.
International orthopaedics
|October 17, 2024
概括
在全关节整形术 (THA) 期间发出微弱的敲击声与术后沉降有关. 监测敲击声级可能有助于减少无水泥THA程序中沉降的发生率.
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
- 声学 声学 在声学方面
背景情况:
- 手术后沉降是关节整形术 (THA) 的潜在并发症.
- 在THA过程中的机械力量,特别是击,可能会影响植入物稳定性和沉降.
- 需要客观的指标来评估THA期间的外科手术技术.
研究的目的:
- 为了研究击声水平和THA在术后沉降之间的关系.
- 确定声音分析是否可以作为在THA过程中对外科影响的客观测量.
主要方法:
- 在95名THA患者的口和茎插入过程中录制的敲击声音 (LCpeak和LAeq).
- 分析了来自七名外科医生的两种植入物类型 (Stryker Trident/Accolade II,Zimmer Biomet G7/Taperloc) 的声音数据.
- 相关的声压水平与≥3mm的术后沉降.
主要成果:
- 26.3%的患者经历了≥3毫米的术后沉降.
- 较弱的敲击声级 (LCpeak和LAeq) 与术后沉降率的增加显著相关.
- 观察到声音水平在外科医生内部和外科医生之间存在显著的变化.
结论:
- 在THA期间降低敲击声强度是术后沉降的独立预测因素.
- 在THA期间的客观声音分析可能会为手术技术和植入物固定提供有价值的见解.
- 实施声级监测可能会降低术后沉降的发生率.
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