在之前的关节骨折手术后,转换全关节整形术的结果
Amr Selim1,2, Debashis Dass3, Siddharth Govilkar3
1The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK.
Bone & joint open
|February 13, 2025
概括
以往的关节骨折手术转换为全关节整形手术 (CTHA) 具有挑战性,但在中期内产生了良好的结果. 虽然并发症率比传统的关节整形术 (THA) 高,但CTHA可以改善关节功能.
科学领域:
- 整形外科手术 整形外科手术
- 关节质整术是指关节质整术.
- 部重建 部重建 部重建
背景情况:
- 将关节骨折手术转换为全关节整形手术 (CTHA) 是一个复杂的过程.
- 对CTHA的结局和并发症率是可变的,并未得到充分确立.
研究的目的:
- 为了确定中期存活率和CTHA在之前的关节骨折手术后的功能结果.
- 在这个患者队列中识别与CTHA相关的并发症.
主要方法:
- 对2008年至2020年期间执行的167个CTHA程序进行了回顾性审查.
- 临床后续包括牛津部分数 (OHS);放射性评估和复杂症和修订率的审查.
主要成果:
- 166名患者 (平均年龄71岁) 接受CTHA. 平均随访时间为4年.
- 8.4%的患者出现并发症,最常见的是手术内骨折和脱位.
- 生存概率为96% (混凝土) 和88% (未混凝土) 在~9.5年. 在这两组中,OHS显著改善.
结论:
- 部骨折手术后的CTHA比传统的THA有更高的并发症率.
- 通过CTHA可以获得良好的中期功能结果和生存率.
- 需要对NJR分类进行审查,以考虑到CTHA增加的并发症潜力.
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