早期转换全关节整形术用于高能量的骨骨折与糟糕的结果有关
Stephen D Bigach1,2, Ridge Maxson2,3, Andres F Moreno-Diaz2
1Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
JB & JS open access
|February 9, 2026
概括
在骨骨折固定后的转换全关节整形术 (THA) 具有很高的并发症和修复率. 不稳定性和感染是关键问题,需要改善这些复杂病例的管理策略.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 关节质整术是指关节质整术.
背景情况:
- 转换性全关节整形术 (THA) 是在骨骨折固定 (ORIF) 后的创伤后关节炎的救援手术.
- 从历史上看,高失败率与骨松动有关,但现代技术显示出有希望的结果.
- 这项研究评估了高能量骨骨折后早期转化THA结果.
研究的目的:
- 为了评估早期转换THA的结果和存活率,在骨骨折的ORIF之后.
- 为了确定这个患者队列中常见的并发症和修订率.
主要方法:
- 对144名接受体ORIF和转换THA (2002-2022) 的患者进行了回顾性审查.
- 排除没有并发症的随访期少于1年的患者.
- 收集的数据包括人口统计,伤害细节,ORIF/THA术后信息,并发症和重新手术/修复.
主要成果:
- 包括144例;ORIF的平均年龄为51.3岁.
- 从ORIF到THA的中位时间为1.1年.
- 有32.6%的人出现并发症 (13.2%,感染11.8%). 重新经营/修订率为21.5%/18.1%,其中大多数修订是在第一年内进行的.
结论:
- 在乙体ORIF之后的早期转化THA与显著的并发症和修订率有关.
- 不稳定性和感染是主要问题,超过了无菌松动.
- 改善的管理策略对于这一具有挑战性的患者群体至关重要.
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