关节置换术中的金属过敏反应。
Metal Hypersensitivity in Joint Arthroplasty.
机构信息
From the Adult Reconstruction Orthopaedic Department, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
出版信息
J Am Acad Orthop Surg Glob Res Rev. 2021 Mar 12;5(3):e20.00200. doi: 10.5435/JAAOSGlobal-D-20-00200.
Abstract
Metal hypersensitivity in joint arthroplasty is a very controversial topic with limited evidence. With increasing numbers of joint replacements being done annually, a clear understanding of the pathogenesis, clinical picture, preimplant screening, postimplant workup, and treatment plan is crucial. This review article looked at all the available evidence regarding metal hypersensitivity and summarized the key findings. An algorithm was also proposed for preimplant screening, postimplant workup, and management.
摘要
关节置换术后金属过敏是一个备受争议的话题，相关证据有限。随着每年进行的关节置换手术数量不断增加，对其发病机制、临床表现、植入前筛查、植入后评估以及治疗方案有一个清晰的认识至关重要。本文回顾了所有关于金属过敏的现有证据，并总结了关键发现。还提出了植入前筛查、植入后评估和管理的算法。
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