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- Title
全股骨置换在保肢重建中的应用.
- Authors
曲å...†é¹; è£æ°ç”Ÿ
- Abstract
BACKGROUND: Attribute to the increasing development of tissue engineering, patients who were forced to abandon their limbs due to disease in the past are now more likely to choose limb salvage reconstruction to save limb function. Among them, the clinical application of total femoral arthroplasty is the specific embodiment of tissue engineering in limb salvage reconstruction technology. OBJECTIVE: To summarize and analyze the application methods of total femoral arthroplasty in limb salvage reconstruction in recent years. METHODS: The authoritative databases such as PubMed and CNKI were searched for the literature related to total femoral arthroplasty. After reading the full text, surgical indications, surgical treatment strategies, and common postoperative complications were systematically reviewed. RESULTS AND CONCLUSION: (1) Artificial total femoral arthroplasty is a reconstruction technique suitable for poor bone status or severe bone defect, with beautiful appearance and preservation of lower limb function. It is a reconstruction surgery superior to traditional limb salvage surgery. (2) There is no consensus on surgical indications, but most scholars believe that neoplastic diseases, recurrent pathological fractures and difficult revision surgery are the main surgical indications. (3) Hip instability and infection are common complications of total femoral arthroplasty, and poor soft tissue conditions are one of the main causes of the above complications. (4) Reconstruction of double/triple head combined with abductor muscle group can effectively prevent hip instability; prolonging the use time of antibiotics is currently the main means to prevent and treat postoperative infection after total femoral arthroplasty, but the effect is poor. (5) Total femoral arthroplasty is a limb salvage reconstruction technique that has gradually emerged in recent years. Unlike lesioning surgery and traditional reconstruction surgery, it has the advantages of beautiful appearance and preservation of lower limb function. (6) At present, the sample size of total femoral arthroplasty is small; the follow-up time is short; and the relevant case reports are relatively isolated. There is no relevant large-sample randomized controlled trial and meta-analysis, which causes some difficulty in formulating the corresponding consensus and guidelines. (7) Hip instability and infection are the main causes of surgical failure. The poor soft tissue conditions of these patients are often associated with multiple bacterial colonization. The combined use of daptomycin in the treatment of methicillin-resistant Staphylococcus aureus colonization has a good effect.
- Subjects
LIMB salvage; SURGICAL indications; REOPERATION; METHICILLIN-resistant staphylococcus aureus; BACTERIAL colonies; ARTIFICIAL joints; INTRAMEDULLARY rods; FEMORAL epiphysis
- Publication
Chinese Journal of Tissue Engineering Research / Zhongguo Zuzhi Gongcheng Yanjiu, 2021, Vol 25, Issue 33, p5374
- ISSN
2095-4344
- Publication type
Article
- DOI
10.12307/2021.330