在全膝关节整形术中对称与非对称的中侧缺口:系统性审查和元分析
Jean Shanaa1, Theodor Di Pauli von Treuheim2, Anzar Sarfraz2
1California Northstate University College of Medicine, Elk Grove, California.
JBJS reviews
|February 9, 2026
概括
在全膝关节整形术中,不对称的宽松侧隙显著改善了运动范围和患者报告的曲结果. 这项研究强调了不对称差距平衡在膝关节置换手术后更好的功能恢复的好处.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
- 临床结果研究研究
背景情况:
- 传统的全膝关节整形术 (TKA) 专注于对称的中间和侧面间隙.
- 关于不对称的差距,特别是更宽松的侧,是否会改善TKA结果,存在争论.
- 这种不对称的方法旨在在曲过程中复制本地膝盖动力学.
研究的目的:
- 为了比较患者报告的结果 (PROs) 和TKA中对称和不对称的中侧间隙之间的运动范围 (ROM).
- 评估差距不对称对功能恢复和TKA后患者满意度的影响.
主要方法:
- 对前性和后性研究进行系统审查和随机效应元分析.
- 分析的重点是方向不对称的差距 (较宽松的横向) 与对称的差距.
- 使用标准化平均差异 (SMD) 和95%置信区间 (CI) 评估ROM和PROs.
主要成果:
- 在曲过程中显著增加了ROM,有利于非对称的宽松侧面间隙而不是对称的间隙 (SMD -0.19).
- 随着不对称的松横向间隙,观察到延伸的ROM增加,尽管在统计学上不显著.
- 被遗忘的联合得分 (FJS) 偏好了不对称的松的横向曲间隙,但这一发现没有统计学意义.
结论:
- 这一元分析是第一个基于对称与非对称的中侧差距来评估TKA结果的元分析.
- 与对称的间隙相比,不对称的宽松侧面间隙显示了FJS和ROM在曲方面的改进.
- 结果表明,在TKA中平衡不对称差距的潜在好处是改善功能结果.
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