查和患者选择用于骨肢体植入和康复:什么使一个好候选人?
Jason W Stoneback1,2, Meghan K Wally3, Angela Abernethy3
1Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO.
概括
骨的肢体 (BAL) 骨质整合改善了假肢的使用和生活质量. 本研究提出了一种选择BAL患者的工作流程,以确保安全性和优化结果.
科学领域:
- 骨科和康复工程 骨科和康复工程
- 生物材料和植入物技术
背景情况:
- 骨骨肢体 (BAL) 骨整合比传统的插座假肢具有优势,改善了每日使用的82-90%并提高了患者的生活质量.
- 尽管有好处,但BAL骨整合患者的选择缺乏标准化,基于证据的指南.
研究的目的:
- 为患者选择和查BAL骨质整合提出一个全面的工作流程.
- 标准化评估过程,包括解剖学,生理学,心理学和生活方式因素.
主要方法:
- 文献综述和跨学科临床经验的综合.
- 开发多方面的评估,包括放射性,医疗,心理和社会评估.
- 强调跨学科的团队方法,以实现均衡的风险效益分析.
主要成果:
- 一个拟议的工作流程,整合了放射学,截肢史,假肢,实验室,精神病学,认知和家庭安全评估.
- 确定用于BAL骨质整合的综合患者评估的关键因素.
- 强调在患者选择方面需要一个跨学科的团队.
结论:
- 标准化BAL骨整合患者的选择对于优化手术结果和康复至关重要.
- 拟议的工作流程旨在提高患者安全,并最大限度地发挥BAL系统的好处.
- 预计将进行进一步的研究,以完善BAL骨整合的适用性和适用性.
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