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混凝土双极辐射头假体的长期结果:一项大型回顾性研究
Clelia Rota1, Andrea Celli1, Elisa Dutto2
1Shoulder and Elbow Unit, Department of Orthopaedic Surgery, Hesperia Hospital, Modena, Italy.
Journal of shoulder and elbow surgery
|November 22, 2024
概括
双极Judet假肢为急性辐射头部骨折 (RHF) 提供了可行的解决方案,无论骨折是孤立的还是与其他肘部损伤相关的,都显示出类似的长期结果. 大多数患者在此放射性头部骨折治疗后报告满意度和良好的功能恢复.
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
- 创伤管理 创伤管理
背景情况:
- 急性辐射头部骨折 (RHFs) 可能需要辐射头部假肢植入,当内部固定是不可行的.
- 本研究评估了水泥双极Judet假肢的长期临床和放射性结果,用于管理急性RHFs.
研究的目的:
- 评估双极Judet假肢在治疗急性辐射头骨折 (RHFs) 的疗效.
- 为了比较孤立的RHF和与其他肘部骨折相关的RHF之间的功能和放射性结果.
主要方法:
- 对63名患有双极性假肢的患者进行了回顾性审查,用于无法重建的RHF.
- 长期随访 (平均150个月),包括运动范围,梅奥肘部表现得分,QuickDash得分,疼痛VAS和满意度.
- 对植入物稳定性,松动,异型骨化和退行性变化的放射性评估.
主要成果:
- 在长期随访中,患者满意度高 (90%),功能得分良好 (Mayo 89,QuickDash 6.8).
- 平均运动范围:113°曲-延伸,149°俯仰-俯仰.
- 30%的患者在前3年内需要重新手术.
结论:
- 双极Judet假肢是一种适合于急性,不可减小的辐射头部骨折的植入物.
- 对于孤立的与关联的RHF,结果和重新操作率是可比的.
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