在临床上,受限制的动力调整在短期和中期内不低于机械调整:系统性审查
Gabriele Cortina1, Pierangelo Za1, Giuseppe Francesco Papalia1
1Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Rome, Italy; Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
The Knee
|November 5, 2023
概括
在全膝关节整形术 (TKA) 中,受限运动对齐 (rKA) 提供了与机械对齐 (MA) 相似或更好的结果. 这种方法可以恢复自然的膝盖功能,而不会增加并发症风险,尽管协议有所不同.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
- 医疗技术 医疗技术 医学技术
背景情况:
- 动力对齐 (KA) 是全膝关节整形术 (TKA) 中机械对齐 (MA) 的新兴替代方案.
- 限制运动对齐 (rKA) 完善KA,以保持本地膝盖运动,同时避免极端的表型.
- 本系统性审查将rKA与TKA中的MA的临床和放射性结果进行比较.
研究的目的:
- 在全膝关节整形术 (TKA) 中,评估限制动力对齐 (rKA) 与机械对齐 (MA) 的临床和放射性结果.
- 评估患者报告的结果得分 (PROM),下肢对齐和两种对齐技术之间的并发症率.
主要方法:
- 在PubMed,Scopus和Cochrane图书馆进行了系统的文献搜索,遵循PRISMA指南.
- 包括的研究比较了rKA和MA在TKA中,分析了至少6个月的临床结果和并发症随访.
- 使用非随机化研究的方法指数来评估方法质量.
主要成果:
- 包括7项包括892个膝盖 (471 MA, 421 rKA) 的研究.
- 术后PROM在rKA和MA组之间是相似的.
- rKA表现出更高的遗忘关节评分和患者满意度,并没有增加并发症率.
结论:
- 限制动力对齐 (rKA) 旨在复制本地膝盖动力学,同时避免极端形.
- 对于rKA的临床结果与TKA中的MA相比,不低于或优于MA,没有短期到中期的植入失败风险.
- 在当前rKA技术中使用的"受限制"协议中存在显著的异质性.
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