在核心减压后转换为关节整形术的发生率
Hao-Che Tang1,2, Daphne I Ling3,4,5, Shu-Han Hsu4
1Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan.
The bone & joint journal
|February 28, 2025
概括
股骨头骨硬化 (ONFH) 的核心减压对关节整形的转换率很高,在十年内达到66.4%. 风险因素包括40岁以上的年龄,酒精滥用和地区医院的手术.
科学领域:
- 整形外科 整形外科 整形外科
- 外科手术的结果
- 流行病学 流行病学
背景情况:
- 核心减压是股骨头骨硬化 (ONFH) 在股骨头崩之前的标准程序.
- 识别患有随后关节整形术风险较高的患者对于治疗计划至关重要.
研究的目的:
- 为了确定ONFH核心减压后关节整形术的发生率.
- 确定与转换为关节整形术相关的风险因素.
主要方法:
- 一项基于全国人口的研究,使用台湾国家健康保险索赔数据库.
- 包括2,918名在2009年至2018年期间接受了ONFH核心减压的患者,随访至2019年.
主要成果:
- 关节整形术的累积发病率在5年后为60.6%,在核心减压后的10年后为66.4%.
- 转化风险增加与40岁以上 (HR 1.18),有过滥用酒精的历史 (HR 1.57) 和地区级医院的手术 (HR 1.13) 相关.
结论:
- 对于ONFH的核心减压具有相当大的长期转换率到关节整形.
- 40岁以上的年龄,滥用酒精和在地区医院接受治疗是转换的重要风险因素.
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