在全关节整形术中对骨质溶解的治疗进行范围审查
Angela Seidel1,2, Michael Li3,4, Karl-Andre Lalonde3
1Division of Orthopedic Surgery, The Ottawa Hospital, University of Ottawa, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, Canada. Angela.seidel@h-fr.ch.
BMC musculoskeletal disorders
|November 27, 2025
概括
完全关节置换 (TAR) 后的骨质疏松缺乏标准的管理方法. 这次审查发现文献异质,不足以推这种常见并发症的最终治疗方法.
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
- 医疗器械研究 医疗器械研究
背景情况:
- 骨质溶解是完全关节置换 (TAR) 后的一个已知的并发症.
- 目前对TAR后骨质疏松的管理策略缺乏建立的共识.
- 这突显了骨科治疗方案中的关键差距.
研究的目的:
- 进行对全关节置换术后骨质溶解管理现有文献的范围审查.
- 识别和综合报告的治疗方式及其结果.
- 评估当前证据的异质性和充分性.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 一个全面的文献搜索包括到2025年3月的研究.
- 研究选择和数据提取由两个独立的审稿人进行.
主要成果:
- 从287项已识别的研究中,包括了54项研究 (案例系列和报告).
- 骨移植 (67%) 和转换为脚融合 (30%) 是常见的治疗方法.
- 长期跟踪和标准化结果的数据有限.
结论:
- 关于管理TAR后骨质疏松的文献非常多样化.
- 目前的证据不足以建立标准治疗建议.
- 需要对标准化结果进行进一步的研究.
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