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在手腕关节整形手术中金属对金属疾病:系统审查和建议的管理算法
Brahman Sivakumar1,2,3,4, Antony Rapisarda5, Heidi Freeman5
1Department of Orthopaedic Surgery, Hornsby Ku-ring-gai Hospital, Hornsby, NSW, Australia.
概括
金属对金属 (MOM) 手腕关节整形与MOM疾病有关,特别是在运动保留的女性中. 这种方法不推,患者需要密切监测.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学是生物材料的科学.
背景情况:
- 手腕关节整形术的使用正在增加.
- 金属对金属 (MOM) 关节是为了减少磨损和改善运动范围而开发的.
- 人们对手腕置换后的MOM疾病存在担忧.
研究的目的:
- 系统地审查手腕关节整形术后MOM疾病的文献.
- 为了确定MOM疾病的患者风险因素.
- 为受影响患者提出一个管理算法.
主要方法:
- 在PubMed,Ovid Medline,Embase和CENTRAL的系统文献搜索.
- 包括报告手腕置换与金属化或升高的金属离子的原始数据的研究.
- 使用QUADAS-2工具进行质量评估.
主要成果:
- 分析了9项涉及124名患者的研究.
- 并发症包括神经问题,疼痛,运动减少和胀.
- 修复手术发生在植入后12.5至72个月之间.
结论:
- 在手腕关节整形术患者中观察到MOM疾病,特别是具有良好的运动范围的女性.
- 在手腕关节整形手术中不建议使用MOM关节.
- 定期的临床,血液学和放射学监测对于MOM手腕关节整形术患者至关重要.
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