固体器官移植患者的整体关节整形术
Farouk Khury1, Garrett Ruff2, Anzar Sarfraz2
1Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 East 17 Street, New York, NY 10003, USA; Division of Orthopedic Surgery, Rambam Health Care Campus, The Ruth and Bruce Rappaport Faculty of Medicine, Haifa 3109601, Israel.
The Orthopedic clinics of North America
|November 16, 2025
概括
固体器官移植 (SOT) 接受者通常需要由于退行性关节疾病而需要全关节关节置换 (TJA). 谨慎管理是改善这些复杂患者治疗结果的关键.
科学领域:
- 整形外科手术 整形外科手术
- 移植医学 移植医学 移植医学
- 免疫学 免疫学 免疫学
背景情况:
- 固体器官移植 (SOT) 的生存率增加导致退行性关节疾病的发病率更高.
- 固体器官移植接受者在关节置换手术中存在独特的挑战,包括免疫抑制和感染风险.
研究的目的:
- 审查固体器官移植接受者的全关节形术 (TJAs) 的挑战和管理策略.
- 突出优化经过TJAs的SOT患者的治疗结果和生活质量的重要性.
主要方法:
- 文献综述侧重于经过TJAs的SOT患者的术后管理.
- 在这个特定的患者群体中分析并发症率和功能结果.
主要成果:
- 在SOT患者的全关节关节切除术 (TJAs) 可以提供显著的疼痛缓解和功能改善,尽管并发症风险更高.
- 精心的手术前评估,量身定制的抗生素预防和适当的植入物选择对于成功的结果至关重要.
结论:
- 跨学科的合作对于管理经历TJA的SOT患者至关重要.
- 优化术后护理可以减少并发症,并提高需要关节置换的SOT接受者的生活质量.
相关概念视频
01:24Tissue Transplantation
883
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
883
01:28Kidney Transplant I: Introduction
315
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
315
01:26Kidney Transplant II: Surgical Procedure
293
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
293
01:16Kidney Transplant III: Nursing Management
301
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
301
01:22Bone Marrow Sampling and Transplants
846
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
846