进化地平线在关节整体置换:一个全面的叙述审查
Yellanti Doondi Dinesh Nag1, Ravada Kinneresh2, Morthala Bala Venkateswara Reddy2
1Department of Oral and Maxillofacial Surgery, Clove Dental Clinic, Hyderabad, IND.
Cureus
|December 2, 2025
概括
整体关节 (TMJ) 置换为末期TMJ疾病提供了至关重要的解决方案,改善了功能和生活质量. 本综述涵盖TMJ全关节置换 (TJR) 的历史,技术,材料和创新.
科学领域:
- 面外科手术 面外科手术
- 生物材料科学 生物材料科学
- 整形外科工程 整形外科工程
背景情况:
- 末期关节 (TMJ) 疾病显著损害下功能和患者的生活质量.
- 整体关节置换 (TJR) 已成为这些衰弱条件的关键治疗选择.
- 全塑性重建是当前的标准,利用先进的材料和技术.
研究的目的:
- 为了提供一个全面的叙事综述的整体关节置换 (TJR).
- 探索TMJ TJR的历史发展,临床目标,生物材料,手术技术和最近的创新.
- 讨论并发症,管理策略和该领域的未来方向.
主要方法:
- 在PubMed,Scopus,Web of Science和谷歌学者中进行了全面的文献搜索.
- 搜索术语包括"全关节置换","TMJ TJR",和"全塑性TMJ假肢".
- 重点是英语同行评审的文章,评论和临床研究,从数据库开始到2025年8月10日.
主要成果:
- 目前的TMJ TJR主要使用合金和超高分子量聚乙烯 (UHMWPE),具有CAD/CAM定制.
- 精细的外科手术方法旨在保护重要结构,而术前规划包括先进的成像和患者教育.
- 常见的并发症包括异型骨形成和脱位,通过手术治疗;神经损伤和突问题需要特殊干预.
结论:
- 关节TJR是面外科手术的基石,提供了更好的结果和减少了捐赠者的发病率.
- 生物工程解决方案和纳米材料显示出增强全塑性益处的前景.
- 持续的研究对于解决感染率和材料过敏等持续挑战至关重要,推动持续的改进.
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