髋关节-膝关节肩关节置换的新概念.pptxVIP

CURRENTCONCEPTSINJOINTREPLACEMENTTMSPRING2023

Thecourseobjectivesare:

◆Tofacilitatefaculty/participantdiscussiononcontemporaryhip,kneeandshoulderarthroplastyuseinclusiveofdesignconcepts,materialadvancesandclinicalresults.

◆Topresentsolutionstodifficulthip,kneeandshouldermanagementproblemsaswellassurgicaltechniqueswhichassisttheirsolution.

◆Toevaluatetheuseofcurrentfixationmethodsinprimaryandrevisionproceduresincludingcement,hydroxyapatite,porouscoated,pressfitandimpactiongraftingapplications.

◆Toaddresscurrentconcernsregardingimplantmateriallimitationsandbiologicresponseaswellasidentifyclinicalinterventionstrategies.

;◆使会议参与者对目前髋关节、膝关节及肩关节旳成形进行讨论，涉及设计概念、材料发展和临床效果。

◆提出对疑难旳髋关节，膝关节肩关节如何解决旳问题，以及有关旳外科技术。

◆评价目前旳固定办法在原发和翻修操作环节旳应用，涉及骨水泥压迫嵌入、压迫移植应用。

刊登目前某些新概念，如材料旳研制、生物反映、以及确认临床发展旳方向。;HipArthroplasty:

I.Introduction

A.Demographics

◆Morethan220,000fracturesofthehipoccureachyearinNorthAmerica.

◆Cost-greaterthan9billiondollarhealthcarecostsperyear.

◆eterogeneouspatientpopulation-somepatientsareactivecommunityambulatorsbutmanyarenursinghomeresidents.

B.Issues

◆Optimaltreatmentofdisplacedfemoralneckfracturesremainscontroversial.

◆Generalagreementthatpatientsregardlessofagewithnon-displacedorvalgusimpactedfractures(stable)willbetreatedwithinternalfixation.

◆Generalagreementthathealthypatients60yearsoryoungeraregoodcandidatesforinternalfixation.

◆However,treatmentofpatientsolderthan60yearsofageiscontroversial.

C.TreatmentOptions

◆Internalfixation

◆Arthroplasty;II.Questions

1.Whichpatientswithdisplacedfemoralneckfracturesshouldbetreatedwithinternalfixation?

◆Factorsthatshouldbeconsideredincludeage,

fracturetype,activitylevelandoverallhealth

2.Shouldpatientsbeingtreatedwithanarthroplastyprocedurerecei