106次无限全关节置换的中期生存:来自英国2个非设计中心的案例系列
Mark Dahill1, Milos Kostusiak2, Michael Dean3
1Avon Orthopaedic Centre, NHS North Bristol NHS Trust, Bristol, United Kingdom.
Foot & ankle international
|June 26, 2025
概括
在一个前性研究中,无限全关节置换 (TAR) 在8年内显示出91.1%的生存率. 这种固定轴承植入物为关节骨关节炎提供了安全有效的解决方案,改善了患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 临床结果研究研究
背景情况:
- 无限总脚系统 (TAR) 是英国领先的脚置换设备,自2014年以来植入.
- 本研究介绍了两个非设计中心对Infinity TAR的最长的前性数据.
- 研究重点是评估这种广泛使用的植入物的长期性能.
研究的目的:
- 在8年的时间内评估无限TAR的生存率和并发症率.
- 为了评估Infinity TAR植入后的功能和放射性结果.
- 为了提供长期证据证明这种固定轴承全脚置换术的有效性.
主要方法:
- 这是一项前性观察性研究,涉及102名患者 (106名初级TAR).
- 不包括修订TAR和从脚关节切除术转换.
- 预期收集幸存率,并发症数据和患者报告的结果,以及放射性评估.
主要成果:
- 平均随访时间为98个月,在8年后的生存率为91.1%.
- 15名患者 (14%) 出现并发症,原因不明的疼痛是复查的最常见原因 (5/8).
- 在疾病特异性 (曼彻斯特-牛津足球问卷) 和一般健康 (EQ-5D-5L) 评分中都观察到显著的改善.
结论:
- 无限固定轴承TAR显示有希望的8年生存率为91.1%.
- 植入物被认为是末期关节骨关节炎的安全有效治疗方法.
- 在患者报告的功能和健康状况结果中取得了显著的改善.
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