在全膝关节整形术中,高粘度和低粘度水泥的修订率相似
Eric R Cornish1, Huiyong Zheng2, Creg Carpenter3
1MyMichigan Health, Alpena, Michigan.
The Journal of arthroplasty
|September 28, 2025
概括
高粘度水泥经常用于全膝关节整形术 (TKA),但修改率与低粘度水泥相似. 抗生素浸的水泥也显示了可比的生存率,这表明对TKA结果没有重大影响.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 临床流行病学临床流行病学
背景情况:
- 在全膝关节整形术 (TKA) 中,越来越多地使用高粘度水泥.
- 文献表明,高粘度水泥与更高的故障率之间存在潜在的关联.
- 需要评估粘度特定的失效率和抗生素添加剂的影响.
研究的目的:
- 为了确定在TKA中使用高粘度水泥的频率.
- 为了比较高粘度和低粘度水泥之间的修订率.
- 评估抗生素添加剂对水泥生存的影响.
主要方法:
- 使用全州数据 (2012-2022) 的回顾性队列研究.
- 根据水泥粘度 (高/中/低) 分类176,216个TKA病例.
- 修订率的卡普兰-梅尔曲线;分析了抗生素使用的影响.
主要成果:
- 在57.9%的案例中使用高粘度水泥;在39.8%的案例中使用低粘度水泥.
- 对高粘度和低粘度水泥的修订率相似.
- 抗生素浸水泥 (43.1%) 的所有原因修订率相似.
结论:
- 高粘度水泥在TKA中普遍存在,其修订率与低粘度水泥相比较.
- 中等粘度水泥在低外科医生体积下表现出更大的失败.
- 在水泥中使用抗生素并没有显著影响TKA生存率.
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