在手术前优化患者的下肢整体关节整形手术
Kristen Barton1,2, Jason M Jennings1,3,4, Douglas A Dennis1,3,5,6
1Colorado Joint Replacement, AdventHealth, Denver, Colorado.
JBJS reviews
|June 20, 2025
概括
在全关节整形术 (TJA) 之前优化患者的健康状况可以改善结果并减少并发症. 这包括解决生物,社会和心理因素,以获得更好的外科护理.
科学领域:
- 整形外科手术 整形外科手术
- 优化患者的优化
- 关节整形护理 关节整形护理
背景情况:
- 医疗并发症和可修改的风险因素会影响全关节关节整形术 (TJA) 的结果.
- 优化策略旨在提高TJA护理价值,并最大限度地减少并发症.
研究的目的:
- 审查和总结手术前患者优化策略的下肢TJA.
- 涵盖初级和修复关节整形的设置.
主要方法:
- 关于手术前优化策略的综合文献综述.
- 评估可修改的生物,社会和心理因素.
主要成果:
- 确定了关键可修改的生物因素:肥胖,糖尿病,营养不良,骨健康,贫血,出血风险,炎症,金黄色杆菌殖民和脆弱.
- 确定了可修改的关键社会/心理因素:吸烟,酒精/毒品使用,心理健康,患者教育和出院计划.
结论:
- 术前优化可修改的风险因素对于改善TJA结果至关重要.
- 解决生物,社会和心理方面的多学科方法提高了患者对手术的准备.
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