Can We Save the Implant: Rib-based Implant Removal Rates and Risk Factors Following Irrigation and Debridement (I&D) Surgery?

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Can We Save the Implant: Rib-based Implant Removal Rates and Risk Factors Following Irrigation and Debridement (I&D) Surgery?

机译：我们可以拯救植入物：罗纹的植入物去除率和灌溉和清除（I＆amp; d）手术的危险因素吗？

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机译：<！[CDATA [CDATA [补充数字内容在文本中可用。背景：在发生手术部位感染的情况下，管理层包括外科清创，试图治疗感染并保留植入物;然而，在这方面，他们经常不成功。虽然研究已经描述了并发症的发生率，但目前的文献没有足够的证据来提供有关保留与植入物的保留的明确建议。本研究旨在鉴定与植入物去除需要的预测因素，以降低植入物保留的不必要的尝试。方法：用罗纹垂直可扩展假体钛肋骨植入物治疗早盘脊柱肺病患者的回顾性评论，该植入物根据伤口问题，在包括手术部位感染，皮肤沼泽和伤口的伤口问题，该res基于垂直扩张假肢肋骨植入物。裂开。所有患者至少有2年的随访。进行单变量和多变量逻辑回归分析以确定植入物去除的几率。结果：181名患者（32％）为伤口问题需要一个I＆D.这些患者在平均年龄为4.6±3.8岁的平均年龄介绍初始植入程序。总共29名患者最终植入植入物去除。除去的显着预测因素包括伤口问题的总数，I＆DS总数，从伤口问题鉴定的天数，抗生素的天数，抗生素总数，胃术管的总数，胃痛管的存在，以及非ambulatory状态（P <0.0001，0.001 ，0.095,0.093,0.082,0.054和0.026）。多重逻辑回归结果表明伤口问题的总数[赔率比（或）：6.00，p = 0.001]，从伤口问题鉴定到I＆D（或：1.03，P = 0.039），以及胃造术管的存在（或：5.7，p = 0.07）作为植入物去除的独立预测因子。结论：数据表明，从感染迹象发作的时间直到清创术手术与保留植入物的能力相反。此外，胃造口管和先前伤口感染的历史可能是植入患者植入物的植入物去除的预测因素，用于肋骨基垂直扩张假肢肋骨仪表。此类信息对于临床医生来说，在伤口问题呈现自身时，可以对临床医生决定尝试植入物保留与去除。证据水平：第三级。

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《Journal of pediatric orthopaedics》 |2020年第5期|共6页
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中图分类儿科学;
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wound; infection; wound complication; thoracic insufficiency syndrome; early-onset scoliosis; rib-based distraction instrumentation; scoliosis; scoliosis surgery; VEPTR;

机译：伤口;感染;伤口并发症;胸腔功能不全综合征;早起的脊柱侧凸;基于罗纹的分心仪器;脊柱侧凸;脊柱侧凸手术;Veptr;

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1. Can We Save the Implant: Rib-based Implant Removal Rates and Risk Factors Following Irrigation and Debridement (I&D) Surgery? [J] . Journal of pediatric orthopaedics . 2020,第5期

机译：我们可以拯救植入物：罗纹的植入物去除率和灌溉和清除（I＆amp; d）手术的危险因素吗？
2. Clinical outcome and risk factors for failure in late acute prosthetic joint infections treated with debridement and implant retention [J] . Wouthuyzen-Bakker Marjan, Sebillotte Marine, Lomas Jose, Journal of Infection . 2019,第1期

机译：作者：王莹，王莹，王莹，王莹，王莹，王莹，王莹
3. Removal of forearm plate leads to a high risk of refracture: decision regarding implant removal after fixation of the forearm and analysis of risk factors of refracture [J] . Yao Chi-Kuo, Lin Kai-Cheng, Tarng Yih-Wen, Archives of orthopaedic and trauma surgery. . 2014,第12期

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4. Combining Chemical and Mechanical Debridement Reduces Amount and Viability of S. epidermidis on Titanium Implant Surfaces [C] . Eva Gustumhaugen, Jessica Loenn-Stensrud, Anne Aamdal Scheie, World biomaterials congress . 2012

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Can We Save the Implant: Rib-based Implant Removal Rates and Risk Factors Following Irrigation and Debridement (I&D) Surgery?

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