相关实验视频

Updated: Jan 10, 2026

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

在整体关节整形术中,可修改的风险因素有哪些? 证据就是证据

Instructional course lectures

|November 25, 2025

概括

在进行全关节节管整形手术之前,优化患者是关键. 然而,将肥胖等并发症与假肢关节感染作为可修改的风险联系起来的高质量的证据有限.

科学领域:

整形外科手术整形外科手术
基于证据的医学基于证据的医学
公共卫生公共卫生

背景情况:

术前优化和可修改的风险因素对于改善全关节整形术 (TJA) 结果至关重要.
主要骨科协会现有的临床实践指南缺乏高质量的证据来将肥胖等并发症归类为假肢关节感染 (PJI) 的可修改风险.

研究的目的:

批判性地检查现有的临床实践指南,关于TJA的可修改风险因素.
审查最近关于并发病的文献及其与PJI的联系.
讨论在高质量的证据稀缺的情况下应用基于证据的医学,并确定可修改风险因素的标准.

主要方法:

关于并发症和PJI的最近研究的文献综述.
分析美国关节和膝盖外科医生协会和美国骨科外科医生协会现有的临床实践指南.
讨论基于证据的医学原则和可修改风险因素的标准.

主要成果:

目前,有限的高质量证据支持将包括肥胖在内的常见并发症归类为TJA中PJI可修改的风险因素.
基于证据的医学的实用性受到这一领域缺乏可靠数据的挑战.
该研究概述了疾病被认为是可修改的风险因素的五个基本条件.

结论:

目前的指导方针可能需要重新评估,因为没有足够的高质量的证据将伴随性疾病与PJI联系起来作为可修改的风险.
需要进行进一步的研究,以建立明确的,基于证据的指导方针,用于TJA的手术前优化.
需要一个严格的框架来定义骨科手术中可修改的风险因素.

更多相关视频

In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty

In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty

Published on: May 5, 2023

Tissue Collection and RNA Extraction from the Human Osteoarthritic Knee Joint

Tissue Collection and RNA Extraction from the Human Osteoarthritic Knee Joint

Published on: July 22, 2021

相关概念视频

Factors Affecting the Risk of Infection

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...

Rheumatic Heart Disease III: Medical Management

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...