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保持十字关节与替代十字关节的全膝关节整形术:一个元分析

Ryan C LeDuc¹, Drashti Upadhyay², Nicholas M Brown¹

¹Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S First Ave. Maguire Bldg. Ste 1300, Maywood, IL 60153 USA.

Indian journal of orthopaedics

|August 1, 2023

概括

十字关节保留 (CR) 和十字关节替代 (CS) 膝关节全关节整形 (TKA) 设计显示了相似的生存率,运动范围和临床结果. 无论是CR还是CS TKAs都是初级膝关节置换手术的可行选择.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
重建性手术是一种重建性手术.

背景情况:

主要全膝关节整形术 (TKA) 涉及交叉维护 (CR),交叉替代 (CS) 或后部稳定 (PS) 设计.
现有的文献广泛比较CR和PS TKA,但缺乏CR与CS TKA结果的系统审查.

研究的目的:

系统地审查和分析文献,比较十字关节保留 (CR) 和十字关节替代 (CS) 膝关节全关节整形术 (TKA).
为了评估生存率,功能结果,患者报告的结果,运动范围 (ROM),生物力学和CR和CS膝盖之间的修订率.

主要方法:

对比CR和CS膝盖的研究的系统审查和元分析.
在PubMed,Cochrane和Embase数据库中进行文献搜索.
通过修改的科尔曼方法得分来评估研究质量.

主要成果:

七项研究符合审查的纳入标准.
在CR和CS膝关节之间的生存率,ROM或临床膝关节得分方面没有发现显著差异.
手术后并发症的发生率相似,在CR (皮带问题,松动) 和CS (皮带块) 两组中都发现了轻微的修订原因.

结论:

保持十字关节 (CR) 和十字关节替代 (CS) 的膝盖都是初级全膝关节整形术 (TKA) 的可接受选择.
该研究支持基于可比结果和并发症概况的CR或CS设计的使用.

关键词:

克鲁西亚特公司保留了十字路口替代品的使用膝关节:膝关节的关节是指膝关节的关节,膝关节是指膝关节的关节.后交叉带的后部交叉带整体膝关节关节整形手术

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