修复整部关节整形术后手术方法是否会影响伤口并发症率?
Nihir Parikh1, Alan D Lam1, Elizabeth A Abe1
1Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
The Journal of arthroplasty
|March 5, 2025
概括
手术方法对修复整部关节整形术 (THA) 后的伤口并发症的影响最小. 在直接前面 (DA),直接侧面 (DL) 和后侧面 (PL) 方法中,再入院和再手术率相似,除了通过PL进行的股骨修改外.
科学领域:
- 整形外科手术 整形外科手术
- 关节塑造研究 关节塑造研究
- 外科手术的结果
背景情况:
- 文献表明,使用直接前部 (DA) 方法进行初级全关节整形术 (THA) 的伤口并发症增加.
- 外科手术对修复THA中伤口并发症的影响尚未得到充分证实.
研究的目的:
- 为了在修复THA中比较不同手术方法之间的伤口并发症率.
- 评估外科手术对THA修订后再入院和再手术率的影响.
主要方法:
- 对1749名修订THA患者 (2017-2023) 的回顾性分析.
- 患者按经过修订的组件 (骨,大腿,两者,头部) 和手术方法 (DA,直接侧面 (DL),后侧面 (PL)) 进行分类.
- 主要结局:90天内发生伤口并发症;次要结局:再入院和再手术率.
主要成果:
- 伤口并发症率在DA,DL和PL方法之间没有显著差异,仅用于乙体,两组件或头条外衣交换修订.
- 腿部部份的修订显示了类似的趋势,尽管DA的比率略低于PL (P=0.065).
- 与DA和DL方法相比,股骨修改的后侧 (PL) 方法与再入院 (12.3%) 和再手术 (10.4%) 的增加有关.
结论:
- 在大多数修复THA场景中,手术方法对伤口并发症的影响最小.
- 在不同方法中,再入院和重新手术的比率通常是可比的,但通过PL方法进行股骨修复的显著例外.
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