全膝关节置换术多用途挡板设计与应用
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广东省中医院

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广东省中医院与香港中文大学医学院生物医学学院基础临床协同创新计划项目(YN2018HK04)


Design and application of multi-purpose baffle for total knee arthroplasty
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Guangdong Provincial Hospital of Chinese Medicine

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    摘要:

    [目的]介绍全膝关节置换术(total knee arthroplasty,TKA)术多用途挡板设计与应用的手术技术和初步临床结果。[方法]本多用途挡板结构包括相互连接的挡板、手柄与负压吸气器,挡板上设有圆形通透窗口、圆形通透窗口通道、矩形通透窗口;矩形通透窗口设置在所述挡板的顶边的中部;圆形通透窗口设置在所述挡板的几何中心位置的一侧;所述的手柄与挡板的下部连接;负压吸气器与手柄连接在挡板的下部,其前端开口延伸到所述挡板的中部形成吸气口,其后端开口连接外部负压抽气管道,将靠近挡板或附着在挡板表面上的血液、碎屑吸出。[结果]TKA患者术中应用多用途挡板,高效遮挡了飞溅的血液和碎骨渣,大大降低手术感染率,有效保护医护人员从而预防血源性职业暴露。86例患者术后膝关节功能恢复良好,未出现感染等严重并发症。[结论]本多用途挡板遮挡并吸附TKA手术过程中飞溅的血液和碎骨渣等污染物,降低了感染率,减少对医务人员的污染和伤害,值得推广应用。

    Abstract:

    Objective: To introduce the design and application of multi-purpose baffle for total knee arthroplasty (TKA) and the preliminary clinical results.Methods: The multi-purpose baffle structure comprises a baffle plate connected with each other, a handle and a negative pressure suction tube. The baffle plate is provided with a circular transparent window, a circular transparent window channel and a rectangular transparent window. A rectangular transparent window is arranged in the middle of the top edge of the baffle; a circular transparent window is arranged on one side of the geometric center position of the baffle; the handle is connected with the lower part of the baffle; the negative pressure suction tube is connected with the handle at the lower part of the baffle plate, and the front end opening extends to the middle part of the baffle plate to form an suction port, and the rear end opening is connected with an external negative pressure suction pipe to suck out the blood and debris near the baffle plate or attached to the surface of the baffle plate.Results:The multi-purpose baffle is applied in TKA patients during the operation, which can effectively block the splashed blood and bone fragments, greatly reduce the surgical infection rate, effectively protect the medical staff and prevent blood borne occupational exposure. 86 patients recovered well after operation without serious complications such as infection.Conclusion:The multi-purpose baffle blocks and absorbs pollutants such as blood and bone fragments spattered during TKA operation, reduces infection rate and reduces pollution and injury to medical staff, and is worthy of popularization and application.

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  • 收稿日期:2023-08-19
  • 最后修改日期:2023-10-31
  • 录用日期:2023-12-27
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