在全膝关节整形手术中过度填充骨骨腔:系统性审查
Marco Gupton1, Jordan E Johnson1, G Robert Cummings1
1MountainView Regional Medical Center, Orthopaedic Surgery Residency, Las Cruces, New Mexico, USA.
EFORT open reviews
|August 1, 2023
概括
在全膝关节整形术 (TKA) 中,骨骨过度填充在合理范围内时不会显著影响临床结果. 为获得最佳效果,建议重新创建原生骨关节 (PFJ) 的尺寸.
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
- 放射学 放射学是一门学科.
背景情况:
- 骨骨头过度填充是全膝关节整形术 (TKA) 的潜在问题.
- 量化其对临床结果的影响对于手术技术的改进至关重要.
研究的目的:
- 系统地审查和分析现有文献.
- 评估带骨过度填充在初级TKA后的临床结果中的作用.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 包括对骨关节炎的初级TKA的研究,包括可量化的骨骨外加填充测量 (手术前后成像).
- 对主观和客观患者结局的分析,与骨骨过度填充有关.
主要成果:
- 分析了6项涉及2325个TKA的研究.
- 没有发现对临床结果的显著影响,当骨骨过度填充在合理范围内时.
- 通常观察到的过度填充程度似乎在可以容忍的范围内.
结论:
- 在TKA中,常规的骨骨过度填充通常处于可容忍的范围内,不会显著影响临床结果.
- 虽然通常是安全的,但建议重新创建本地骨关节 (PFJ) 的尺寸,以确保最佳的关节功能和结果.
相关概念视频
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