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连续101次Nexel全肘关节整形手术的队列
Lars Eilertsen1, Idar F Brekke2, Erik Haavardsholm3
1Department of Orthopedic Surgery, Diakonhjemmet Hospital, Oslo, Norway, Tingstuveien 12E, 0281 Oslo, Norway.
Journal of shoulder and elbow surgery
|February 21, 2026
概括
在一项为期四年的研究中,Nexel全肘关节整形术 (TEA) 由于松动而显示出5%的修订率. 虽然重新手术和并发症很常见,但大多数患者经历了显著的疼痛减轻和运动范围的改善.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 关节塑造研究 关节塑造研究
背景情况:
- 尼克塞尔全肘关节整形术 (TEA) 是为了改进昆拉德-莫里TEA设计而开发的.
- 对于Nexel TEA的高修订率存在担忧,特别是由于宽松.
研究的目的:
- 评估Nexel全肘关节整形手术的临床结果和修订率.
- 评估与Nexel TEA相关的植入物存活率和并发症.
主要方法:
- 从2015-2021年对101个初级Nexel TEAs进行了回顾性审查.
- 数据来源于挪威关节整形注册,电子病历和放射评估.
- 对植入物修复的评估,二次手术,并发症,X光放松,梅奥肘性能得分 (MEPS),运动范围 (ROM) 和疼痛 (NRS).
主要成果:
- 在44个月的平均随访期间,发生了5次植入器修改 (5%),其中2次归因于无菌松动.
- 另外四个疑似无菌松动的病例被放射性识别出来.
- 在18个和22个肘部分别记录了38次二次手术和27次并发症.
- 81%的患者取得了良好的或优秀的临床结果 (MEPS).
- 平均ROM (87°至113°) 和疼痛得分 (休息:4.0至0.8;活动:7.9至1.7) 显著改善.
结论:
- 在这个队列中,Nexel TEA显示了5%的修订率,这是由于无菌松动导致的.
- 重复手术和并发症的发生率很频繁,但与TEA的预期范围相比.
- 该程序导致显著的临床改善,与骨折后续相比,急性骨折病例的结果更好.
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