儿童的金属植入物
Peter John Cundy1, Nicole Williams1
1Women's & Children's Hospital, University of Adelaide, Adelaide, SA, Australia.
Journal of children's orthopaedics
|November 14, 2024
概括
儿童的金属植入物需要仔细考虑,因为移除的风险和潜在的长期健康影响. 关于移除植入物的明智决定可以减少并发症和医疗保健成本.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学是生物材料的科学.
- 儿科医学 儿科医学 儿科医学
背景情况:
- 金属植入物越来越多地用于儿科患者的创伤和形纠正.
- 本综述综合了当前关于金属植入物材料,切除指示和儿童潜在的长期健康问题的知识.
研究的目的:
- 审查儿科骨科植入物中使用的金属类型.
- 探索植入物切除的原因和相关风险.
- 讨论金属植入物对儿童的潜在长期健康影响.
主要方法:
- 进行了全面的文献审查.
- 确定并总结了有关儿科金属植入物的相关研究.
主要成果:
- 专门用于儿童的植入物和金属合金已经发展,改善了形纠正,并可能降低成本.
- 移除植入物的指示往往不清楚,已知至少有6%的并发症率;移除应保留在感染,失败或显著症状的情况下.
- 在脊柱植入物中观察到大量的金属离子释放,特别是,对人类的长期健康影响尚不清楚,但在动物模型中明显.
结论:
- 在儿童中,与切除金属植入物相关的风险是相当大的.
- 临床医生必须意识到潜在的隐性毒性和长期健康风险,特别是考虑到儿童的寿命延长.
- 对金属合金组成和植入物设计的更深入的理解对于尽量减少儿科患者的风险至关重要.
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