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在骨骨折后,急性与延迟的全关节整形术的修订率

Alex J Demers¹, Jacob L Henrichsen¹, Taylor J Den Hartog¹

¹Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

The Iowa orthopaedic journal

|July 3, 2025

概括

对于骨骨折的全关节整形术 (THA) 的时间不会显著影响修订率. 急性THA的修订率为6.0%,而延迟THA的修订率为13.0%,具有不同的初级修订指示.

科学领域:

整形外科手术整形外科手术
创伤管理创伤管理
关节塑造研究关节塑造研究

背景情况:

整部关节整形术 (THA) 有助于在骨骨折后的功能恢复.
在骨骨折中对THA的最佳时间进行了辩论,影响了并发症和修订率.
这项研究调查了急性与延迟 (>30天) 甲骨骨折的THA时间.

研究的目的:

为了确定关节骨折的全关节整形术 (THA) 的时间是否会影响修复率和适应症.
为了比较急性 (<30天) 和延迟 (>30天) THA 之间的结局,用于乙骨骨折管理.

主要方法:

追溯对165名患者进行一次性THA治疗,以治疗骨骨折的患者 (1997-2020年) 的回顾.
患者分为急性与延迟THA组.
对修复关节整形术的发病率和适用情况进行分析,并进行统计分析 (α ≤ 0.05).

主要成果:

总体修订率为10.9% (18/165). 总体修订率为10.9% (18/165). 总体修订率为10.9% (18/165). 总体修订率为10.9% (18/165).
与急性THA (6.0%) 相比,延迟THA的修订率 (13.0%) 没有显著上升.
假肢关节感染 (PJI) 是延迟THA的主要修订原因;急性THA的不稳定性. 急性THA患者的骨折脱位率较高,并且年龄较大.

结论:

乙骨骨折的THA时间显示了对修订率的模两可的影响.
没有观察到急性和延迟THA之间的修订率有显著差异.
证据级别:第三个.

关键词:

骨骨折骨骨折骨骨折在创伤后的骨关节炎.假肢关节感染假肢关节感染修复性关节整形术 (Revision Arthroplasty) 是一种修复性关节整形术.整体关节整形术

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