系统性硬化症患者的关节关节切除术的结果
Melanie Bertolino1,2, Kyra A Benavent1, Zachary Li1,3
1Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA.
Journal of hand surgery global online
|February 24, 2025
概括
关节切除 (关节融合) 可以治疗与硬化皮质 (全身性硬化症) 相关的数字形. 然而,患者和外科医生应预计,在此过程后,并发症率和潜在的重复手术可能会更高.
科学领域:
- 整形外科手术 整形外科手术
- 类风湿病学 类风湿病学
- 自免疫性疾病 自免疫性疾病
背景情况:
- 系统性硬化症 (硬皮症) 是一种慢性自身免疫性疾病,会导致手指的疼痛和功能限制.
- 关节间 (IP) 关节形是患有硬化肌病的患者常见的并发症.
- 关节切除术是关节重建的外科选择,但它在硬化皮肤病患者中的有效性需要评估.
研究的目的:
- 在患有硬化皮质症的患者中,评估关节间关节 (IP) 关节骨折后的并发症和重复手术率.
- 评估数字关节融合在被诊断为全身性硬化症的患者队列中的结果.
主要方法:
- 2006年至2019年间接受数字关节关节切除 (PIP,DIP,指IP) 的患者的回顾性评估.
- 收集的数据包括患者人口统计,并发病,手术细节和术后结果.
- 分析的重点是手术内和手术后的并发症,非联合率和重新操作的要求.
主要成果:
- 在6名多发性硬化症患者中,有13个IP关节用关节切除术治疗.
- 三名患者出现了术后并发症,包括曲形,不适和细胞炎.
- 在九种主要关节切除术中,有两种和所有四种修复关节切除术的结果是不结合,三名患者需要重新手术.
结论:
- 关节是一个可行的治疗数字形在硬化皮肤病患者.
- 更高的并发症率和非联合需要仔细的患者选择和知情同意.
- 外科医生必须为这种患者群体的潜在重新手术做好准备.
关键词:
手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...关节之间的关节融合.关节关节形术 (英语:Joint arthrodesis) 是一个关节关节形术.脊髓硬化症是什么 脊髓硬化症系统性硬化症 系统性硬化症相关概念视频
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