在修订关节整形中无腿部部部件:初级和修订茎之间的注册表比较研究
Francesco Castagnini1, Barbara Bordini, Monica Cosentino
1From the Ortopedia-Traumatologia e Chirurgia protesica e dei reimpianti d'anca e di ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy (Castagnini and Diquattro), the Laboratorio di Tecnologia Medica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy (Bordini and Cosentino), the Head of Clinica Ortopedica e Traumatologica I, IRCCS Istituto Ortopedico Rizzoli, Bologna and DIBINEM, Università di Bologna, Bologna, Italy (Faldini), and the Head of Ortopedia-Traumatologia e Chirurgia protesica e dei reimpianti d'anca e di ginocchio, IRCCS Istituto Ortopedico Rizzoli, Bologna and DIBINEM, Università di Bologna, Bologna, Italy (Traina).
非水泥化初级茎在关节整形修改中显示的生存率低于修改茎. 对于年长的女性患者,建议仔细考虑初级茎,特别是单的版本.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 医疗设备工程 医疗设备工程
背景情况:
- 在修复关节整形术中选择大腿部部件仍然是一个关键的决定.
- 通常使用非水泥干,但它们在修改设置中的性能需要详细分析.
研究的目的:
- 为了比较非水泥化初级与修改茎的存活率,在股骨部件修改关节整形术中.
- 评估干模块化的影响 (单曲与模块化) 对生存结果的影响.
主要方法:
- 一个区域性关节整形登记处确定了5,186次使用非水泥干的修复部手术.
- 植入物被分类为主要或修订茎,并按模块化进行分类.
- 在10年的时间里分析了生存率.
主要成果:
- 与初级茎 (85.9%) 相比,修订茎的10年生存率 (92.3%) 显著更高.
- 主要茎的存活率较低,原因是无菌松动和周围假肢骨折,特别是在65岁以上的女性中.
- 与单曲复习茎相比,单曲初级茎的表现较差.
结论:
- 在大腿修复关节整形术中,应谨慎使用初级茎,特别是在老年女性人口统计学中.
- 在初级和修订茎之间做出选择,以及它们的特定设计 (例如,单曲),显著影响长期结果.
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