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在初级全膝关节整形术中,部分侧侧面切除:是一种常见的补充,支持有限

Clément Horteur^1,2, Andrea Salvi¹, Pierre Girard²

¹Hôpital Maisonneuve-Rosemont, Montreal University, Surgery Department, Montréal, Québec, Canada.

EFORT open reviews

|March 2, 2026

概括

部分侧侧关节切除术 (PLPF) 并不能始终改善全膝关节整形术 (TKA) 的结果. 证据不支持系统的PLPF来降低修订率或增强骨跟踪.

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:

部分侧面切除术 (PLPF) 是一种涉及部分切除骨侧面的手术.
最初用于孤立的外部骨骨关节炎,PLPF已在全膝关节整形术 (TKA) 中进行了探索,以改善骨跟踪和减少前膝关节疼痛.

研究的目的:

评估系统的部分侧侧面切除术 (PLPF) 在初级和修复膝关节全关节整形术 (TKA) 的疗效.
评估PLPF对功能评分,骨跟踪和骨骨问题修订率的影响.

主要方法:

对现有文献和研究的审查,这些研究对TKA中PLPF的证据水平较低.
分析与PLPF相关的功能结果,形跟踪增强和修订数据的分析.

主要成果:

目前的证据表明,系统的PLPF并不能改善TKA的功能评分.
关于PLPF在增强骨追踪中的作用的数据仍然存在争议.
没有证据表明PLPF可以保护TKA后的骨骨问题导致的未重新表面化的膝盖免受修复.

结论:

基于当前文献,不建议对初级或修订TKA进行系统的PLPF.
虽然并非普遍适用,但可能存在TKA中PLPF的特定,相关的适用性.

关键词:

膝盖膝盖膝盖在皮带皮带皮带皮带整体膝关节关节整形手术

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