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在整部关节整形术后的术后脱落:流行病学,危险因素和相关并发症

Ashley Knebel¹, Manjot Singh¹, Michael J Farias¹

¹Warren Alpert Medical School, Brown University, Providence, RI, USA.

Journal of orthopaedics

|June 9, 2025

概括

在全关节整形术 (THA) 后的落脚与修复手术和并发症有关. 识别这些危险因素可以改善THA患者的咨询和手术规划.

科学领域:

整形外科手术整形外科手术
神经学神经学
流行病学流行病学

背景情况:

脚,是关节整形术 (THA) 的并发症,是由于坐骨神经和骨神经受伤造成的.
有限的研究存在的风险因素和趋势与手术后的足迹与THA.后的相关的研究.
这项研究解决了在THA.之后对足迹流行病学的全面理解的需要.

研究的目的:

为了描述THA后的落脚病的流行病学.
识别THA后发展的过程性风险因素.
概述与THA后的落脚相关的并发症.

主要方法:

利用PearlDiver数据库识别成人初级或修订THA患者.
将患者过成足球和没有足球队伍 (1: 1 匹配年龄,性别,并发症).
分析了流行病学趋势 (2010-2022年),人口统计,并发病,程序细节和结果.

主要成果:

在0.3%的THA患者中发生了足迹下降,发病率从0.3%降至0.2% (2010-2022).
落脚患者更有可能接受修订THA,并且有先前存在的并发症.
更高的手术内出血率,神经损伤,以及许多手术后并发症被观察到在足球运动患者.

结论:

接受THA修复的女性患者,先前患有腰部融合和并发症,面临更高的脱落风险.
脚落与手术后并发症和THA后修订率的增加有关.
这些发现有助于对THA进行咨询和手术规划,以减轻脱落风险.

关键词:

复杂性复杂性复杂性足迹的落地足迹的落地风险因素风险因素整体关节整形术关节整形术

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