单阶段双边整体关节置换及其结果:横截面研究
Hemant Sharma1, Rajesh Verma1, Lalit Kumar1
1Department of Orthopedics & Spine Surgery, Marengo Asia Hospitals Gurugram, Gurgaon 122011, Haryana, India.
单阶段双侧全关节置换 (B/ L THR) 是患有关节炎的患者的一种安全且具有成本效益的选择. 这种方法提供了有利的结果,包括早期出行和最小的并发症,支持其在临床实践中的使用.
科学领域:
- 骨科手术
- 关节整形
- 部疾病
背景情况:
- 双侧关节炎影响了大部分人群,其中许多人需要全关节置换 (THR).
- 大约25%的THR患者可能需要双侧置换,强调需要有效的手术策略.
研究的目的:
- 评估单阶段双侧整体关节置换术 (B/L THR) 的临床结果和成本效益.
- 评估B/L THR在第三级医院环境中的安全性和有效性.
主要方法:
- 一项回顾性观察研究分析了2018年1月至2023年7月期间接受单阶段B/LTHR的患者的数据.
- 评估了75名患者的临床结果,并发症率和再入院率.
主要成果:
- 这项研究包括75名患者,平均年龄为36岁.
- 观察到4. 0%的低并发症率,包括急性冠状动脉综合征,骨骨折和性.
- 再入院率也为4%,表明患者的康复情况良好.
结论:
- 单阶段B/LTHR是一种安全且具有成本效益的双边关节疾病治疗方法.
- 精心选择患者 (例如,美国麻醉师协会的低分) 导致了有利的结果,即使在肥胖患者中也是如此.
- 预防措施有效地控制了深静脉血栓和肺栓塞等系统性并发症,支持早期出行和恢复日常活动.
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