经皮骨水泥(股骨成形术)髋关节假体无菌松动

IF 1.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING RADIOLOGIA Pub Date : 2023-11-01 DOI:10.1016/j.rx.2023.06.006
X. Tomas Batlle , J.C. Soler-Perromat , J. Blasco Andaluz , J.A. Fernández-Valencia
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引用次数: 0

摘要

人口老龄化和医疗保健的改善导致髋关节置换术(HA)患者的显著增加。在这一患者群体中,需要进行新的关节成形术(人工髋关节置换术或髋关节二次翻修术)的比例也有所增加。对于这一应考虑但禁忌进行外科假体置换的亚组患者,自2010年以来,已经开发了一种新技术:在荧光镜或CT控制下经皮注射假体周围水泥(“股骨成形术;FMP”),作为一种替代性且微创的治疗方法,与在不置换的情况下稳定HA的手术相比,对患者的生活质量产生了良好的影响。在这篇简短的交流中,我们描述了我们在FMP方面的积极经验,我们在西班牙首次对4名患者(年龄在74-83岁之间,2名女性和2名男性患者,3名右侧HA和1名左侧HA)进行了FMP,没有术后并发症。我们强调了这项技术的相对简单性,即使在地区医院也可以将其纳入放射干预,以及在所有患者中观察到的显著临床改善。最后,我们希望我们的经验能够有助于科学界更多地采用这一创新技术。
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Cementación percutánea (femoroplastia) de prótesis de cadera con aflojamiento aséptico

Progressive population aging and improved healthcare have led to a significant increase in patients with hip arthroplasty (HA). In this patient group, the proportion of those who require a new arthroplasty (prosthetic replacement or secondary revision of the hip), has also increased. For this subgroup of patients in whom surgical prosthetic replacement should be considered but is contraindicated, a new technique has been developed since 2010: percutaneous injection of periprosthetic cement under fluoroscopic or CT control (“femoroplasty; FMP”) as an alternative and less invasive treatment compared to surgery to stabilize the HA without replacing it, with excellent results on patients’ quality of life. In this brief communication, we describe our positive experience regarding FMP, which we have performed for the first time in Spain on 4 patients (age range between 74-83 years, 2 female and 2 male patients, 3 right HA and 1 left HA), without post-complications. We highlight both the relative simplicity of this technique, which can be incorporated into radiological intervention even in regional hospitals, and the significant clinical improvement observed in all patients. In conclusion, we hope that our experience can contribute to the increased adoption of this innovative technique within the scientific community.

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来源期刊
RADIOLOGIA
RADIOLOGIA RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.60
自引率
7.70%
发文量
105
审稿时长
52 days
期刊介绍: La mejor revista para conocer de primera mano los originales más relevantes en la especialidad y las revisiones, casos y notas clínicas de mayor interés profesional. Además es la Publicación Oficial de la Sociedad Española de Radiología Médica.
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