血友病及相关疾病的初级全膝关节置换术：翻修率及其原因。

IF 1.2 Q3 ORTHOPEDICS

Archives of Bone and Joint Surgery-ABJS Pub Date : 2024-01-01 DOI:10.22038/ABJS.2024.76697.3544

E Carlos Rodriguez-Merchan

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引用次数: 0

摘要

如果血友病及相关疾病（von Willebrand 病和其他先天性出血性疾病）患者没有从婴儿期就开始接受适当的初级血液学预防治疗，他们的关节就会出现膝关节退变；当这种关节退变发展到非常严重的程度（疼痛和致残），尽管之前已经接受过保守治疗，但缓解问题的唯一方法就是植入初级全膝关节置换术（TKA）。文献显示，71%的初次全膝关节置换术在植入二十年后仍能正常使用；另一方面，18%的初次全膝关节置换术因假体周围感染（PJI）而不得不进行翻修。翻修全膝关节置换术的主要原因是假体周围感染和无菌性松动（各占 39%）。

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Primary Total Knee Arthroplasty in Hemophilia and Allied Disorders: Revision Rates and Their Causes.

When patients with hemophilia and allied disorders (von Willebrand disease and other congenital bleeding disorders) do not receive adequate primary hematologic prophylaxis from infancy, their joints will suffer knee joint degeneration; when such joint degeneration becomes very advanced (painful and disabling) despite previous conservative treatment, the only way to alleviate the problem will be to implant a primary total knee arthroplasty (TKA). The literature has shown that twenty years after implantation, 71% of primary TKAs are still functional; on the other hand, 18% have to be revised as a consequence of periprosthetic joint infection (PJI). The main causes of revision total knee arthroplasty are PJI and aseptic loosening (39% each).

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来源期刊

Archives of Bone and Joint Surgery-ABJS ORTHOPEDICS-

CiteScore

2.30

自引率

0.00%

发文量

128

期刊介绍： The Archives of Bone and Joint Surgery (ABJS) aims to encourage a better understanding of all aspects of Orthopedic Sciences. The journal accepts scientific papers including original research, review article, short communication, case report, and letter to the editor in all fields of bone, joint, musculoskeletal surgery and related researches. The Archives of Bone and Joint Surgery (ABJS) will publish papers in all aspects of today`s modern orthopedic sciences including: Arthroscopy, Arthroplasty, Sport Medicine, Reconstruction, Hand and Upper Extremity, Pediatric Orthopedics, Spine, Trauma, Foot and Ankle, Tumor, Joint Rheumatic Disease, Skeletal Imaging, Orthopedic Physical Therapy, Rehabilitation, Orthopedic Basic Sciences (Biomechanics, Biotechnology, Biomaterial..).