稳定不稳定:老年人间关节骨折中的圆半关节整形术
Arcot Reddy Vamsi Krishna1, Babaji Sitaram Thorat1, Avtar Singh Kamboj1
1Department of Orthopaedics, Amandeep Hospitals, Amritsar, Punjab, India.
Arthroplasty today
|January 19, 2026
概括
双极性半关节整形术用状,状的茎显示,老年患者有不稳定的胸腔间骨折,可靠的短期结果. 这种方法促进了早期动员和良好的功能结果,使其成为一个可行的治疗选择.
科学领域:
- 整形外科手术 整形外科手术
- 老年创伤的治疗方法
- 关节整形术是指关节的整形术.
背景情况:
- 老年人中不稳定的胸腔间骨折由于骨质差和并发性疾病而带来复杂的治疗挑战.
- 双极性半关节整形提供了诸如早期动员和减少固定并发症等优势.
- 本研究侧重于针对这些骨折的特定非水泥假肢的短期结果.
研究的目的:
- 为了评估双极性半关节整形术的短期结果,使用非水泥片,形的形股骨假体.
- 评估老年患者的放射和功能结果,这些老年患者有不稳定的胸腔间骨折.
主要方法:
- 对43名老年患者的回顾性分析,这些患者接受了非水泥双极性心关节整形手术.
- 评估放射性参数,包括茎沉降,较大的三叉体结合和四肢长度差异.
- 使用哈里斯部评分在最低12个月的随访时评估的功能结果.
主要成果:
- 较大的三叉体结合率高 (97.7%),其中一个非结合导致脱位.
- 平均茎沉降3.5毫米,其中9.3%经历了需要修改的重大沉降.
- 良好的功能结果,平均哈里斯部分数为91.28,100%的结果是好的或优秀的.
结论:
- 带有逐渐缩小的状茎的非水泥双极性心关节整形手术是对具有不稳定的胸腔间骨折的选定老年患者的可靠选择.
- 假肢提供可预测的固定,并允许早期承重.
- 这种手术方法在这个患者群体中产生了有利的短期功能结果.
相关概念视频
04:41Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
930
Here, we present a protocol for accessing the guidewire of intramedullary femoral nailing in obese patients using an in-house designed awl. Using the new awl with a distal positioner for the guidewire insertion and opening the bone can increase efficiency in inserting the guidewire and reduce the difficulty of...
930
03:57Transverse Fracture of the Mouse Femur with Stabilizing Pin
4.1K
This protocol describes a method to perform fractures on adult mice and monitor the healing...
4.1K
06:59Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
14.1K
The goal of the protocol is to optimize the fracture generation parameters to yield consistent fractures. This protocol accounts for the variations in bone size and morphology that may exist between animals. Additionally, a cost-effective, adjustable fracture apparatus is...
14.1K
04:13Less-Invasive Technique for Non-stabilized Mandibular Fracture in Mouse Models
848
This protocol presents a comprehensive and efficient method for analyzing mandibular bone repair. We describe a reproducible technique for non-stabilized mandibular fracture in a mouse model, allowing analysis of the process of endochondral bone repair with minimal tissue damage and bone loss.
848
05:53The Generation of Closed Femoral Fractures in Mice: A Model to Study Bone Healing
16.2K
The murine closed femoral fracture model is a powerful platform to study fracture healing and novel therapeutic strategies to accelerate bone regeneration. The goal of this surgical protocol is to generate unilateral closed femoral fractures in mice using an intramedullary steel rod to stabilize the...
16.2K
02:51mRNA Stability and Gene Expression
6.5K
The structure and stability of mRNA molecules regulates gene expression, as mRNAs are a key step in the pathway from gene to protein. In eukaryotes, the half-life of mRNA varies from a few minutes up to several days. mRNA stability is essential in growth and development. The absence of the proteins regulating its stability, such as tristetraprolin in mice, can cause systemic issues, including bone marrow overgrowth, inflammation, and autoimmunity.
Cis-acting Elements involved in mRNA stability
Cis-acting Elements involved in mRNA stability
6.5K