对于这个对全膝关节关节整形手术感兴趣的患者,您会推什么? 来自伯特以色列执事女医疗中心的大轮讨论
Risa B Burns1, Tara Skorupa1, Ayesha Abdeen2
1Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts (R.B.B., T.S., Z.K.).
Annals of internal medicine
|June 9, 2025
概括
膝关节骨关节炎影响着数以百万计的人,非手术治疗缺乏疾病修饰作用. 专家们审查了当前关于膝关节骨关节炎全关节整形术时间的指导方针,当保守护理失败时.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 老年学是指老年学的学科.
背景情况:
- 症状性膝关节关节炎 (OA) 影响了1400万美国人,由于人口老龄化,这一数字预计将增加.
- 目前用于膝关节OA的非手术治疗提供症状缓解,但不会改变疾病的进展.
- 许多患有膝盖骨关节炎的患者最终需要全关节整形术 (TJA).
研究的目的:
- 审查有关膝关节OA非手术治疗选择的现有证据.
- 讨论膝盖骨关节炎患者全关节整形术 (TJA) 的指示和最佳时间.
- 为了与最近的关于TJA定时的指导方针保持一致 膝盖OA.
主要方法:
- 关于膝盖骨关节炎治疗的现有科学证据的审查.
- 专家讨论非操作性管理策略.
- 对外科干预的指示和时间分析 (TJA).
主要成果:
- 非手术治疗提供了症状益处,但对于膝关节OA来说并不是改变疾病的.
- 对于中度至重度膝关节OA患者的最佳TJA时间,存在指导方针,这些患者对保守护理无反应.
- 专家的共识支持对TJA决策的结构化方法.
结论:
- 对于膝关节OA不耐非手术治疗的患者来说,TJA的最佳时间是至关重要的.
- 基于证据的指导方针有助于临床医生管理膝关节OA并决定TJA.
- 考虑非手术结果和患者因素的综合方法对于TJA时机至关重要.
相关概念视频
Knee Joint
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


