相关实验视频

Updated: Jun 13, 2026

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

叶酸缺乏和肩膀整形术的结果

Prasenjit Saha¹, Seyedeh Zahra Mousavi¹, Anagh Astavans¹

¹Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Shoulder & elbow

|August 22, 2025

概括

叶酸缺乏会增加肩膀整形术后并发症的风险. 患有低叶酸水平的患者在TSA手术后面临更高的感染率,机械问题和不稳定性.

科学领域:

骨科手术
营养科学
生物化学

背景情况:

叶酸缺乏与炎症和严重的关节炎有关.
骨关节炎可能会使肩膀重建和肩膀整形术 (TSA) 复杂化.

研究的目的:

研究叶酸缺乏和TSA后的并发症之间的相关性.
评估手术前叶酸水平对TSA结果的影响.

主要方法:

使用TrinetX数据库进行回顾性队列分析.
在TSA之前,识别低 (≤2.5 ng/ ml) 和正常 (≥2. 6 ng/ ml) 叶酸水平的患者.
在TSA后的90天,2年和4年的结果比较.

主要成果:

患有叶酸缺乏症的患者在90天后会出现周围假肢关节感染,机械松,周围假肢骨折和脱的风险较高.
在所有时间点中,在叶酸缺乏患者中观察到机械并发症和不稳定性/ 脱的显著增加.
在TSA后的叶酸缺乏症患者中,脱,机械并发症和不稳定性/ 脱的长期风险增加.

结论:

叶酸缺乏与TSA后的短期和长期骨科并发症的显著增加有关.
手术前的叶酸状况是影响TSA结果的关键因素.
在TSA推之前,就这些增加的风险向叶酸缺乏症患者提供咨询.

关键词:

发生不良事件叶酸的使用叶酸缺乏症骨质疏松症整体肩关节整形

更多相关视频

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

相关概念视频

Bones of the Upper Limb: Humerus

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...