骨盆版本和关节整形术患者的动力学:对当前的分类系统和基于脊柱对齐的建议进行范围审查
Giuseppe Geraci1,2, Alberto Di Martino1,2, Enrico Masi1
1Ist Orthopaedic Department, IRCCS-Istituto Ortopedico Rizzoli, Bologna, Italy.
Bone & joint open
|December 2, 2025
概括
不正常的盆腔版本和动力学增加了关节整形术 (THA) 失败的风险. 本综述综合了分类,并提出了建议,以优化脊椎问题患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 脊柱-部相互作用
背景情况:
- 关节整形术 (THA) 失败在患有骨盆异常版本和动力学异常的患者中更为常见.
- 这些异常会增加撞击和脱位的风险,使THA结果复杂化.
研究的目的:
- 在THA中审查当前的关节脊柱和脊柱关节问题的分类系统.
- 为了确定骨盆版本和运动学的特定模式.
- 整合建议,以优化受影响患者的THA结果.
主要方法:
- 对MEDLINE,Cochrane,ProQuest和PubMed数据库进行了广泛的文献审查 (2024年10月).
- 包括2016年1月至2024年9月的英语文章.
- 使用关键词,如"全关节整形","椎","脊椎",和"骨盆运动";分析了七篇符合条件的文章.
主要成果:
- 在一个名图中总结了现有的椎脊柱分类,详细说明了骨盆版本和运动学组合.
- 提供特定模式的建议,以减轻THA并发症.
- 根据骨盆运动模式,建议进行手术调整 (例如,杯子倾斜,前倒,植入物选择).
结论:
- 提供了一个全面的概述,在THA. spinopelvic问题.
- 强调需要对分类和管理策略有统一的理解.
- 建议进行进一步的研究,以验证异常的骨盆运动的建议管理策略.
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