在初级膝关节置换中固化与非固化的固定:叙述性审查
Mikołaj Wilczyński1, Michał Bieniek1, Przemysław Krakowski1,2
1Orthopaedic and Sports Traumatology Department, Carolina Medical Center, Pory 78, 02-757 Warsaw, Poland.
Materials (Basel, Switzerland)
|March 13, 2024
概括
全膝关节置换 (TKR) 手术为膝关节关节炎提供了解决方案. 本综述比较了水泥和无水泥固定方法,没有发现膝关节假肢的单一最佳方法. 个性化的患者决策对于最佳结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 生物材料科学 生物材料科学
- 老年学是指老年学的学科.
背景情况:
- 膝关节关节炎 (OA) 是全球残疾的主要原因,由于体育过度使用和肥胖等因素,它影响了老年人和年轻人.
- 整体关节置换 (TJR) 是末期膝关节OA的标准治疗方法,可恢复功能并减少疼痛.
- 在TJR中固定假肢依赖于水泥 (聚甲基甲酸) 或无水泥的方法,每种方法都对修改率和长期存活有影响.
研究的目的:
- 为了比较在全膝关节置换 (TKR) 手术中的固技术与无固技术的疗效和结果.
- 对不同固定方法的TKR修订率和存活时间的现有文献进行审查.
- 根据TKR.的最佳固定策略,为临床决策提供信息.
主要方法:
- 使用PICO (人口,干预,比较,结果) 规则在PubMed.com进行了系统的文献搜索.
- 搜索的重点是2010年至2023年间发表的文章,确定了783项相关研究.
- 根据预先定义的标准,选择了14项研究纳入本次审查.
主要成果:
- 审查发现没有普遍优越的方法来固定膝关节假肢.
- 混凝土和无混凝土TKR技术都有明显的优点和缺点.
- 长期修订率和生存时间是关键因素,但缺乏建立的共识.
结论:
- 选择固化和无固化全膝关节置换固定之间的选择应该是个性化的.
- 在选择最合适的固定方法时,患者特定因素和知情同意至关重要.
- 可能需要进一步的研究,以制定更明确的TKR固定策略指南.
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