乙状体杯的迁移模式:对RSA研究的系统审查和元分析
Chan Hee Cho1, Bart G Pijls2, John M Abrahams3
1Centre for Orthopaedic and Trauma Research, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia. chanhee.cho@adelaide.edu.au.
Acta orthopaedica
|December 29, 2023
概括
大多数acetabular cup迁移发生在整个部置换 (THR) 后的6个月内. 植入因子通常不会影响迁移,但36%的病例显示出潜在的长期松的早期迹象.
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
- 医疗成像医学成像
背景情况:
- 骨杯的迁移是部整体置换 (THR) 成功的关键因素.
- 射频立体分析 (RSA) 是一种精确的方法来测量杯移动.
- 了解早期迁移模式可以预测长期的植入物稳定性.
研究的目的:
- 系统地审查和分析RSA研究的acetabular杯移动.
- 调查早期 (3-6个月) 和长期 (长达10年) 的迁移模式.
- 评估各种植入物因素对随着时间的推移对杯子迁移的影响.
主要方法:
- 对RSA研究进行PubMed,Embase和Scopus数据库的系统搜索.
- 包括关于初级全关节置换 (THR) 的研究,报告了杯移动.
- 在多个时间点 (3,6个月,1,2,5,10年) 和植入因子中对近位迁移的分析.
主要成果:
- 来自47项研究的83个队列 (2,328杯) 的分析.
- 植入物因素 (固定,头部大小,轴承,涂层) 对近距离迁移没有显著的影响,除了一个线索杯设计外.
- 混凝土 (0.14毫米) 和非混凝土 (0.12毫米) 杯的平均2年近距离迁移是相似的.
- 在6个月到2年之间,移民没有显著增加.
- 36%的队列显示2年近位迁移>0.2毫米,这是潜在的长期松的标志.
结论:
- 大多数乙管杯迁移发生在THR后的前6个月内.
- 植入因子,除了一个例外,没有显著影响2年近位迁移.
- 很大比例的植入物 (36%) 呈现出迁移模式,表明潜在的长期松动风险.
- 需要进一步的研究来验证6个月/1年的迁移作为较早预测长期放松的早期预测者,而不是目前的2年值.
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