周围假肢膝关节感染后的浮动膝关节关节炎:一个多中心研究
Amparo Ortega-Yago1, Aranza Pedraza-Corbi1, Laia Boadas-Gironès2
1Osteoarticular Infection Unit, Hospital Universitari i Politècnic la Fe, Valencia, Spain.
The Journal of arthroplasty
|December 12, 2024
概括
浮动膝关节关节切除是一种安全有效的治疗复发性膝关节周围假肢关节感染 (PJI),在假肢修复不可能时提供良好的功能结果.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 关节整形术是指关节的整形术.
背景情况:
- 膝关节周围假肢关节感染 (PJI) 经常需要进行救援手术.
- 膝关节关节切除在管理复杂的膝关节PJIs时提供了膝关节上方截肢的替代方案.
研究的目的:
- 分析具有PJI病史的患者浮动膝关节关节损伤的结果.
- 在这个患者队列中对Baeza-Ortega尺度的功能评估进行外部验证.
主要方法:
- 在2012-2022年期间,对86名接受PJI浮动膝关节关节切除术的患者进行了回顾性研究.
- 来自西班牙三个复杂骨关节感染的转诊中心收集的数据.
- 临床,分析,放射和功能评估使用贝扎-奥特加尺度.
主要成果:
- 在平均4年随访期间观察到15%的再感染率和29%的并发症率.
- 麦克菲尔森肢体3级与更高的再感染风险相关 (P=0.036).
- 53%的患者获得了优秀或可接受的功能结果,满意度和功能之间存在显著的相关性 (P=0.0006).
结论:
- 浮动膝关节关节切除术是一种有效和安全的手术,用于在膝关节假肢修复不可行时管理复发性PJI.
- 该程序提供了令人满意的功能结果,并避免截肢.
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