■患有神经系统疾病的患者通常在股骨近端置换(PFR)手术后术后并发症的发生率很高。骨科医生在治疗帕金森氏病(PD)方面面临重大困难,肌肉过度紧张,增加骨折的风险。本研究的目的是评估肿瘤切除后PD对PFR的影响。
■从2010年到2020年进行了一项回顾性研究,重点是一个单独的机构,分析了9例诊断为PD的患者,这些患者因肿瘤切除而接受了半髋关节置换术并进行了PFR。该研究由2名男性和7名女性组成,平均年龄71岁(SD,12)年。我们根据疼痛管理评估了手术后的结果,生活质量,功能能力,并发症的发生,和生存时间。
■所有9名患者都接受了计划的手术。未观察到术中并发症。平均随访期为24(SD,20个月,从8到72个月不等。尽管有8名患者因肿瘤进展而去世,在这一点上,内置假体仍然很好。术前VAS评分为7分(SD,1.87)降低到术后评分2(SD,1.32).KPS提高到73(SD,7)从52(SD,14),术后。手术后,疼痛水平和总体生活质量评分均显著提高.手术后,个人能够稳定地走动,恢复正常的日常生活。活着的患者的平均MSTS评分为21分(SD,2.5),从17到25。总的来说,有四名(44.4%)病人在手术后出现并发症,包括一个伤口裂开,一个假体骨折,一次髋关节脱位,和一次局部复发。
■PD患者肿瘤切除后,通过PFR和半髋关节置换术可以实现功能和疼痛缓解的显着改善。实施充分的准备和精心护理可减少PD患者的并发症并改善预后。
UNASSIGNED: Patients with neurological disorders often experience a high incidence of postoperative complications following proximal femur replacement (PFR) surgery. The orthopaedist faces a significant difficulty in treating Parkinson\'s disease (PD) because of the weakened bone condition, excessive muscle tension, and increased risk of fractures. The objective of this research is to assess the impact of PD on PFR following tumor removal.
UNASSIGNED: A retrospective study was conducted from 2010 to 2020, focusing on a solitary institution, analyzing 9 patients diagnosed with PD who underwent PFR with
hemiarthroplasty as a result of tumor removal. The study consists of 2 men and 7 women, with an average age of 71 (SD, 12) years. We assessed the outcomes after surgery in terms of pain management, quality of life, functional ability, occurrence of complications, and survival durations.
UNASSIGNED: All nine patients underwent planned surgeries. Intraoperative complications was not observed. The average length of the follow-up period was 24 (SD, 20) months, ranging from 8 to 72 months. Despite the fact that 8 patients passed away due to tumor progression, the endoprostheses were still well at that point. The preoperative VAS score of 7 (SD, 1.87) decreased to a postoperative score of 2 (SD, 1.32). The KPS was improved to73 (SD, 7) from 52 (SD, 14), postoperatively. Post-surgery, there were notable enhancements in both pain levels and the overall quality of life scores. Following the surgical procedure, individuals are able to ambulate steadily, resuming their regular daily routines. Living patients had an average MSTS score of 21 (SD, 2.5), ranging from 17 to 25. In total, there were four (44.4%) patients suffered complications after surgery, comprising of one wound dehiscence, one prosthetic fracture, one hip dislocation, and one local recurrence.
UNASSIGNED: Significant improvements in function and pain relief can be achieved through PFR with
hemiarthroplasty following tumor removal in patients with PD. The implementation of thorough preparation and carefull nursing results in reduced complications and improved outcomes in PD patients.