在修订定制的acetabular组件整体关节整形术:一个系统的审查
Matthew T Weintraub1, Matthew L Hadley1, Nicholas A Bedard1
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
The Journal of arthroplasty
|May 11, 2025
概括
在修复关节整形手术中,定制的关节元件 (CAC) 显示了可接受的生存率,在7年内保留了94%. 脱位和周围假肢关节感染 (PJI) 是重新审查的关键原因.
科学领域:
- 整形外科手术 整形外科手术
- 关节整形术是指关节的整形术.
- 生物材料是一种生物材料.
背景情况:
- 定制的关节元件 (CAC) 用于修复严重的骨损失的关节整形手术 (THAs).
- 之前的系统性审查中,随访时间有限.
研究的目的:
- 在修订THAs.As中报告CAC的中期结果.
- 评估CACs的存活率和失败原因.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 搜索了MEDLINE,EMBASE,Cochrane和Scopus的英语出版物,追踪时间≥2年.
- 包括14项研究,592项CAC用于再审核/删除分析和603项用于重新操作分析;平均随访时间为7年.
主要成果:
- CAC再审核率为每1000人年19人 (n=84);所有原因的再审核率为每1000人年21人 (n=93).
- CAC去除率为每1000人年中的8个 (n=36).
- 常见的再审核指示:脱位 (31),周围假肢关节感染 (PJI) (30),无菌松动 (12). 常见的去除指示:PJI (22),无菌松动 (12). 平均哈里斯部分数从38提高到75分.
结论:
- 在复杂的修订THA中,CAC显示了可接受的生存率,在平均7年内保留了94%.
- 移位和PJI是重新审核的主要驱动因素.
- PJI和无菌松动是导致CAC去除的主要原因.
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