编辑评论:肥胖和骨关节炎是转换为关节整形手术的危险因素,有或没有以前的膝关节关节镜术
Luke V Tollefson1, Jonathan T Super2, Iain R Murray2
1Edina, Minnesota, U.S.A.
概括
关节镜膝关节手术的结果各不相同. 虽然一些手术可以缓解疼痛,但其他手术,如阴茎修复,旨在恢复膝盖的自然功能,但膝盖关节整形手术的进展仍然很复杂.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
背景情况:
- 关节镜膝关节手术的目的是缓解疼痛并改善功能.
- 程序在恢复本地膝盖生物力学能力方面有所不同.
研究的目的:
- 在关节镜手术后调查影响膝关节关节整形进展的因素.
- 为了区分受伤相关因素对手术和患者因素的影响.
主要方法:
- 审查有关关节镜膝关节手术和关节塑形术的现有文献.
- 分析与关节镜手术结果和进展到膝关节置换相关的风险因素.
主要成果:
- 一些关节透视手术可以改善症状,但不能恢复关节的生物力学.
- 关节镜手术不良结果的危险因素,如骨关节炎和肥胖症,也预测了关节整形.
结论:
- 损伤特征,手术时间和患者因素对关节塑形术进展的确切贡献需要进一步澄清.
- 有一种趋势,即恢复本地膝关节功能的关节透视手术,承认退行性关节疾病的局限性.
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