单阶段双边整体关节置换的功能和放射性结果:一个回顾性观察性研究
Rajendra Kumar Kanojia1, Ramesh Kalappagol Basappa1, Dipesh Shah1
1Department of Orthopaedics, PGIMER, Chandigarh, India.
Indian journal of orthopaedics
|August 25, 2025
概括
一阶段双侧全关节置换 (THR) 是双侧关节疾病患者的安全有效的手术,可显著改善功能和高患者满意度,并发症率低.
科学领域:
- 骨科手术
- 关节整形
- 重建性手术
背景情况:
- 一级双侧整体关节置换 (THR) 提供了诸如减少麻醉暴露和更短的住院时间等优势.
- 评估功能和放射性结果对于评估程序的有效性至关重要.
研究的目的:
- 评估一阶段双边整体关节置换 (THR) 的功能和放射性结果.
- 在一组患者中评估该程序的安全性和有效性.
主要方法:
- 一项追溯性研究,对30名通过后部治疗进行单阶段双侧THR的患者进行.
- 收集的数据包括ASA等级,住院时间,血红蛋白水平和并发症.
- 使用修改后的哈里斯关节评分,SF-36和患者满意度表来评估功能结果.
主要成果:
- 平均手术时间为175分钟,平均输血量为834毫升.
- 没有观察到重大并发症;平均住院时间为9. 9天.
- 在修正哈里斯关节评分 (31. 0至86. 7) 和高患者满意度 (86. 66%) 中显著改善.
结论:
- 一个阶段的双边THR与特定患者的低并发症率和良好的功能结果有关 (ASA 1和2).
- 当经验丰富的外科医生对患者进行适当的选择时,该程序是双边关节疾病的安全选择.
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