整体股骨置换,手术的指示及其并发症:系统性审查
Bartłomiej Wilk1, Małgorzata Rojek2, Julia Gugulska2
1Medical University of Warsaw, 61 Żwirki i Wigury St, 02-091 Warsaw, Warsaw, Poland. wilk.wilkbartlomiej@gmail.com.
Archives of orthopaedic and trauma surgery
|April 29, 2025
概括
整体股骨置换 (TFR) 是一种复杂的骨科手术,用于严重的股骨问题. 虽然它可以挽救四肢,但外科医生必须仔细权衡感染和脱等并发症的高风险与潜在的益处.
科学领域:
- 整形外科手术 整形外科手术
- 在瘤学瘤学.
- 生物医学工程 生物医学工程
背景情况:
- 整体股骨置换 (TFR) 解决了复杂的部,股骨和膝盖重建问题.
- 它用于瘤病例和严重的假肢故障与骨缺陷.
- 作为关节脱节的替代方案,TFR提供肢体救援.
研究的目的:
- 系统地审查TFR的征兆和并发症.
- 分析导致TFR程序的初级诊断.
- 为了确定与TFR相关的常见术后并发症.
主要方法:
- 按照PRISMA指南进行系统审查.
- 电子数据库搜索相关研究.
- 分析了包括651名患者在内的15篇文章.
主要成果:
- 常见的诊断包括骨髓瘤 (瘤) 和骨关节炎 (非瘤).
- 主要症状包括瘤 (50.8%),骨折 (17.1%) 和松 (8.9%).
- 观察到的并发症率很高:感染 (32.4%),软组织衰竭 (13.9%) 和脱位 (12.9%).
结论:
- 由于TFR带有重大风险,因此需要仔细选择患者和个性化风险评估.
- 预防周围假肢感染对于避免植入物失败至关重要.
- 考虑限制或双流动性的杯子可以减轻脱位风险.
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