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帕特洛菲莫拉尔膝关节假体 - - 为什么很少使用?

Miroslav Hašpl¹, Denis Tršek¹, Hrvoje Klobučar¹

¹Akromion, Special Hospital for Orthopaedic Surgery, Krapinske Toplice, Croatia.

Acta clinica Croatica

|May 8, 2025

概括

骨关节 (PF) 膝关节假肢植入是孤立的PF骨关节炎的成功选择. 这项研究显示,手术后疼痛,功能和活动水平显著改善.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
膝盖生物力学膝盖生物力学

背景情况:

骨关节炎 (PF) 是膝关节疼痛的常见原因,通常导致功能受损.
目前对孤立的PF骨关节炎的治疗选择有限,关节整形作为一种可行的替代方案而出现.
假肢设计的进步正在提高临床实践中PF关节整形的潜力.

研究的目的:

介绍膝关节假肢植入的骨骨 (PF) 关节的初始结果.
审查有关PF关节塑形术的当前文献.
评估PF关节塑形术在患有孤立PF关节炎的患者中的疗效.

主要方法:

对2012年至2021年间植入的8种PF膝关节假肢进行了回顾性分析.
功能评估包括WOMAC,KSS (疼痛和功能),Tegner活动水平和VAS疼痛评分.
临床和放射学后续检查,以评估假肢的稳定性和骨跟踪.

主要成果:

在术后WOMAC (38.4至95.5),KSS疼痛 (34.25至94),KSS功能 (53.75至95),Tegner活动 (1.86至3) 和VAS疼痛 (7.14至1.86) 评分 (p < 0.0001) 中观察到显著改善.
假肢在整个随访期间 (平均5.87年) 显示稳定性和正常的形跟踪.
一名患者需要在5.5年后转换为全肘假肢 (TEP).

结论:

骨关节整形术是单独的PF骨关节炎的成功治疗方法,可以显著改善功能.
这项研究支持PF关节整形术由于改进了假肢设计而不断扩大的作用和指示.
PF关节整形为患有衰弱性PF关节疼痛和功能障碍的患者提供了一个有希望的解决方案.

关键词:

前膝关节疼痛前膝关节疼痛文献审查文献审查脊椎椎骨关节炎脊椎椎骨关节炎脊椎骨关节假肢是一种假肢.个人经历,个人经历.

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