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首页> 外文期刊>Open Journal of Urology >Radiological Monitoring of Hip Replacements in Sickle Cell Disease Patients: Report of 31 Cases
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Radiological Monitoring of Hip Replacements in Sickle Cell Disease Patients: Report of 31 Cases

机译：镰状细胞病患者的髋关节置换术的放射学监测：31例报告

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Aim: The objective of the study was to report the progressive complications of hip joint disease in a population of sickle cell. Materials and Methods: A descriptive and retrospective study from 2002 to 2008: A case of 31 sickle cell subjects having presented an advanced osteonecrosis of the femoral head. All the patients benefited from an arthroplasty in adulthood with a radiographic monitoring in immediate post operative before and after one year. The sickle cell subjects were compared to a non sickle cell control group of 37 patients according to the same criteria. The analysis had included considerations of the environment and the position of the prosthetic parts, as well as additional modifications. The types of complications and the moment at which they occur were indexed and analyzed using a statistical test of FISHER with a threshold of significance level p Results: The average age of sickle cell patients was 35 years and non sickle cell disease sufferers, 51, with a male predominance. Indications for surgery were dominated by coxarthroses, 31 cases (100%) in sickle cell disease sufferers and 17 cases (46%) among the control group. All our patients underwent a radiological control in the immediate postoperative. They were fewer between 6 months and 1 year (19%). The immediate complications were dominated by fractures 2 cases in non sickle cell disease sufferers. The complications before one year were marked by a predominance of dislocation, 3 cases in the non sickle cell population against 2 cases in sickle cell population. The loosening were the most observed complications in both populations after a year and more (5 cases in sickle cell disease sufferers and 6 cases in non sickle cell disease sufferers). Conclusion: The evolutionary complications of joint replacements in sickle cell subjects are not more frequent than in non sickle cell subjects.
机译：目的：该研究的目的是报告镰状细胞人群中髋关节疾病的进行性并发症。材料和方法：2002年至2008年的描述性和回顾性研究：一例31例镰状细胞受试者表现出晚期股骨头坏死。所有患者在成年后都接受了关节置换术，并在手术前后一年后立即进行了影像学检查。根据相同标准，将镰状细胞受试者与37名患者的非镰状细胞对照组进行比较。分析包括对环境和假体位置的考虑，以及其他修改。使用FISHER的统计学检验对并发症的类型和发生的时间进行索引和分析，其显着性水平为p。结果：镰状细胞患者的平均年龄为35岁，非镰状细胞疾病患者的平均年龄为51岁，男性占主导地位。手术指征主要由枸杞糖组成，镰状细胞病患者为31例（100％），对照组为17例（46％）。我们所有的患者均在术后即刻接受了放射线检查。在6个月至1年之间，他们的人数较少（19％）。非镰状细胞性疾病患者中，以2例骨折为主要并发症。一年前的并发症以脱位为主，非镰状细胞群为3例，镰状细胞群为2例。一年以后，松动是两个人群中观察到最多的并发症（镰状细胞病患者5例，非镰状细胞疾病患者6例）。结论：镰状细胞受试者的关节置换演变并发症并不比非镰状细胞受试者更频繁。

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