下肢关节假体有什么新进展?

Guillaume A. Odri , Diane J.Y. Yoon , Mathieu Severyns
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引用次数: 0

摘要

由于骨关节炎的流行、良好的临床效果和植入物的长期存活,法国全髋关节和膝关节置换术的数量不断增加。过去二十年的技术进步并没有带来预期的好处,围手术期管理的变化是最明显的变化,增强了患者的体验。因此,术后快速恢复包括有效的多模式镇痛,可使患者早期动员,降低血栓栓塞的风险,术中引入氨甲环酸可降低出血和输血的风险,甚至允许在门诊基础上对一些选定的患者进行管理。术前危险因素的识别使得有可能筛选有并发症风险的患者,并在进行假体之前纠正其中的一些危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quoi de neuf dans les prothèses articulaires du membre inférieur ?

The number of total hip and knee replacements in France continues to increase due to the prevalence of osteoarthritis, excellent clinical results and long-term survival of the implants. The technical improvements over the past two decades have not brought the expected benefits, and it is the changes in perioperative management that are responsible for the most obvious changes, with an enhanced patient experience. Thus, rapid recovery after surgery includes effective multimodal analgesia allowing early mobilization of patients with reduced risk of thromboembolism, a reduction in the risk of bleeding and transfusion by the introduction of tranexamic acid intraoperatively, even allowing the management of some selected patients on an outpatient basis. The identification of preoperative risk factors makes it possible to screen patients at risk of complications and correct some of these risk factors before performing the prosthesis.

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