相关实验视频

Updated: Jun 12, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

关节整形术与关节形术的并发症:系统性审查和元分析,并进行试验顺序分析

Jonathan Jia En Boey¹, Rui Xiang Toh¹, Yao Chen Loh²

¹Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|December 19, 2024

概括

这一系统性审查发现,全关节整形术 (TAA) 和关节节修复术 (AA) 对末期关节骨关节炎 (ESAO) 的并发症率相似. 外科医生应该与患者讨论特定的TAA与AA并发症.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程

背景情况:

关节骨关节炎 (OA) 影响1-3%的成年人,目前关于全关节整形术 (TAA) 与关节形术 (AA) 结果的证据是模糊的.
本综述解决了对TAA和AA之间末期关节骨关节炎 (ESAO) 的并发症的比较数据的需求.

研究的目的:

在ESAO患者中系统地比较TAA和AA之间的并发症率.
为外科医生提供基于证据的观点来管理ESAO.

主要方法:

对ESAO的TAA或AA进行RCT和得分匹配研究的系统审查和元分析.
从创立到2024年1月21日,搜索了四个国际数据库.
并发症被分为总,主要和次要;偏差风险和证据确定性的评估使用了Cochrane风险偏差2,纽卡斯尔-太华尺度和GRADE.

主要成果:

包括5项研究 (2项RCT,3项得分匹配) 涉及13,957名患者 (6975名TAA,6982名AA).
总并发症的聚合RR为0.95 (95%CI:0.85至1.08,中度确定性,有利于AA).
主要并发症的聚合RR为1.18 (95%CI:0.70至1.98,低确定性,有利于TAA),小并发症的RR为0.96 (95%CI:0.75至1.22,中等确定性,有利于AA).

结论:

在ESAO的管理中,TAA和AA的重大和轻微并发症率相似.
尽管整体并发症率相似,但应考虑与每个手术相关的特定并发症.
这种比较分析有助于外科医生为患者提供ESAO治疗选择的咨询.

关键词:

脚脚在脚上关节关节切除术脚关节切除术复杂性复杂性复杂性最终阶段的脚骨关节炎整体脚关节整形手术

更多相关视频

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$ 07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

相关概念视频

Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...