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全关节整形术后的长期结果:系统性审查

Michael S Lee¹, Lucas Mathson¹, Clark Andrews¹

¹Medical College of Wisconsin, Milwaukee, WI, USA.

Foot & ankle orthopaedics

|November 11, 2024

概括

整体脚关节整形 (TAA) 通常会改善患者的长期结果,但生存率有很大差异. 需要进一步的研究来规范TAA的结果报告.

科学领域:

整形外科手术整形外科手术
生物材料科学生物材料科学
康复医学康复医学康复医学

背景情况:

关节整形术 (TAA) 是一种常见的关节关节炎手术治疗方法.
在2009-2019年期间,在美国进行了超过4万次TAA.
有限的综合数据存在于TAA后的长期患者报告结果 (PROs) 上.

研究的目的:

在初级TAA之后汇总并报告至少10年的PRO.
在长期TAA研究中分析存活率和植入失败时间表.

主要方法:

按照PRISMA指南进行系统审查.
在PubMed,Scopus和CENTRAL中搜索了至少10年PRO或TAA后满意度的研究.
包括英语语言的初级研究文章;基于每个研究中的植入失败定义的生存率.

主要成果:

八项研究 (595个脚,年龄51-73.7岁) 符合纳入标准,随访时间为10至20年.
六项研究报告平均随访时间为11.9至15.8年.
两项研究显示PRO显著改善;在10年后的生存率从66%到94.4%不等,植入物失败发生在4.6至13.8年之间.

结论:

主要的TAA通常会在至少10年的随访中导致更好的PRO.
幸存率是可变的 (66%-94.4%) 并需要谨慎的解释,因为不同的定义.
对于未来的分析,建议对幸存者定义和PRO报告进行标准化.

关键词:

关节炎是一种关节炎.关节质复原关节质复原关节质复原关节质复原患者报告的结果.幸存者幸存者幸存者整体脚关节整形手术

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