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膝关节截肢与膝关节关节切除对于失败的全膝关节置换:对结果的系统审查
Juin Low1, Jason Shih Hoellwarth2, Muhammad Adeel Akhtar3
1The University of Edinburgh, Scotland, United Kingdom.
The Knee
|January 21, 2024
概括
膝关节关节切除 (KA) 为失败的全膝关节置换提供了比输血骨截肢 (TFA) 更好的门诊结果. 这两种手术都有感染和修复手术的风险,对生活质量的数据有限.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
背景情况:
- 失败的全膝关节置换 (TKR) 需要挽救的选择,如腿骨移植截肢 (TFA) 或膝关节关节切除 (KA).
- 本系统性审查将TFA与KA在救援场景中的结果进行比较.
结论:
- 目前还没有比较TFA和KA的随机对照试验,这表明当前证据中的潜在选择偏差.
- 膝关节关节切除 (KA) 在实现行走后失败的全膝关节置换方面似乎更优越.
- 无论是TFA还是KA,都涉及到随后感染和修复手术的相当大的风险.
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