患有骨关节炎的儿童的关节整形术:一项回顾性队列研究
Alexandra M Stein1, Mathilde Gaumé1, Thomas Demoures2
1Service de Chirurgie Orthopédique Pédiatrique, CHU Armand Trousseau, Sorbonne University, 26 Av. du Dr Arnold Netter 75012 Paris, France.
概括
患有关节炎的儿童的关节整形术 (THA) 提供了令人满意的疼痛缓解和功能改善. 尽管存在潜在的并发症,但这项手术对于选定的儿科患者来说是一个可行的选择.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 关节整形术是指关节的整形术.
背景情况:
- 全关节整形术 (THA) 在儿科患者中不常见.
- 由于生长板和植入物寿命,对儿童的THA结果存在不确定性.
- 在生长过程中,关节脊柱的生物力学增加了儿科THA结果的复杂性.
研究的目的:
- 评估THA在患有关节骨关节炎的儿童的临床结果.
- 为了确定THA是否对儿科患者无法控制的部疼痛产生令人满意的结果.
- 在儿科队列中评估THA后的疼痛缓解和并发症率.
主要方法:
- 对27名18岁以下的患者进行回顾性研究,这些患者接受了THA治疗关节骨关节炎.
- 使用Postel Merle d'Aubigné (PMA) 和牛津尺度评估的临床结果.
- 二级结局包括慢性疼痛缓解和并发症分析.
主要成果:
- 手术时的平均年龄为13.7岁,平均随访时间为5.4年.
- 观察到高的疼痛缓解率 (96.3%).
- 22.2%的患者出现严重并发症,其中11.1%需要修复手术.
结论:
- 在患有关节骨关节炎的儿科患者中,THA显示出令人满意的结果.
- 对于某些患有部疼痛的儿童来说,THA可以被认为是可行的治疗选择.
- 需要对更大的样本和对照组进行进一步的研究.
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