放射性软组织厚度在初级全脚关节整形术后不是感染的危险因素
Kevin A Wu1, Albert T Anastasio1, Katherine M Kutzer1
1Division of Foot and Ankle, Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, 27710.
概括
放射性软组织厚度,特别是部组织和部组织测量,在全脚关节整形术 (TAA) 后没有预测周围假肢关节感染 (PJI). 需要进一步的研究来确定可修改的风险因素来减少PJI.
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
- 放射学 放射学是一门学科.
背景情况:
- 脚关节整形术 (TAA) 越来越多地用于末期脚关节炎.
- 周围假肢关节感染 (PJI) 是TAA后的一个严重并发症.
- 识别PJI的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在TAA后评估PJI手术前放射性软组织厚度的预测值.
- 调查骨组织和骨组织的距离是否可以预测PJI风险.
主要方法:
- 在2003年至2019年期间,对323名接受初级TAA的患者进行了回顾性分析.
- 在外科手术前测量骨组织和骨组织的距离. 在侧面放射图上.
- 后勤回归分析以确定PJI风险因素的几率比率 (OR).
主要成果:
- 观察到PJI率为1.86% (在323名患者中6名).
- 无论是部组织 (OR = 0.975,p = 0.09) 还是部组织厚度 (OR = 0.976,p = 0.18) 都不是PJI的显著预测因素.
- 受感染的队列显示了较小平均软组织厚度的趋势,尽管在统计学上并不显著.
结论:
- 术前骨组织和骨组织厚度不是PJI在初级TAA后的显著预测因素.
- 需要进行额外的研究,以确定TAA中PJI可修改的风险因素.
- 应该把重点放在制定降低PJI率和改善TAA结果的战略上.
更多相关视频
07:24Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
10.2K
09:01Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
11.7K
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
