急性败血性原生肘部关节炎的管理 - 一个系统的审查
Dylan Mistry1, Chetan Khatri1,2, Madeleine Bickley1
1Trauma and Orthopaedic Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, West Midlands, United Kingdom of Great Britain and Northern Ireland.
Shoulder & elbow
|June 27, 2025
概括
肘部的败血性关节炎虽然很少见,但通常需要手术. 虽然许多患者获得了良好的功能结果,但有些人面临严重的并发症,这凸显了优化治疗策略的必要性.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 类风湿病学 类风湿病学
背景情况:
- 肘部的败血性关节炎占所有败血性关节炎病例的6-9%.
- 最佳的管理策略通常从其他大型关节中推断出来,因为肘部特定文献有限.
- 本综述侧重于本地肘部败血性关节炎的管理和结果.
研究的目的:
- 系统地审查和分析有关肘部本源性败血性关节炎的管理和结果的现有证据.
主要方法:
- 在三个数据库中,按照PRISMA指南进行了系统审查.
- 包括专注于被诊断患有本地肘部败血性关节炎的成年患者的研究.
- 评估的关键结果包括功能结果和并发症率.
主要成果:
- 分析了11项涉及47名患者的研究. 金黄色葡萄球菌是最常见的病原体.
- 在46名患者中使用了手术干预 (关节镜或开放式).
- 77%的患者恢复了运动范围,据报道,17名患者的梅奥肘部性能得分从70.0-100.0不等. 并发症包括12.9%的重复手术率,5%的重复感染率和7%的死亡率.
结论:
- 原生肘部败血性关节炎通常产生有利的结果,但有一部分患者经历了相当大的发病率和死亡率.
- 进一步的研究对于确定高风险患者群体的最佳治疗方法至关重要.
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