全膝关节置换术经股内侧肌下入路与经内侧髌旁入路临床疗效的META分析

发布时间：2018-05-27 23:14

本文选题：全膝关节置换术 + 经股内侧肌下入路　；参考：《中国矫形外科杂志》2017年01期

【摘要】：[目的]系统评价经股内侧肌下入路行膝关节置换术的可行性及安全性。[方法]计算机检索Pub Med、EMbase、Cochrane图书馆、OVID/Medline和中国万方数据库。全面收集有关股内侧肌下入路对比传统内侧髌旁入路的临床随机对照研究,按Cochrane协作网提供的风险偏倚评估工具对文献的方法学偏倚进行评价,提取文献数据并使用Rev Man 5.3.0软件进行Meta分析。[结果]最终纳入13篇文献,其中12篇随机对照研究,1篇半随机对照研究,共1 246例膝关节。Meta分析结果显示在术后直腿抬高时间、早期KSS功能评分方面股内侧肌入路优于传统内侧髌旁入路,但在手术时间、术后疼痛、膝关节活动度及术后并发症的差异无统计学意义。[结论]与传统内侧髌旁入路相比,经股内侧肌入路行全膝关节置换在术后早期KSS功能评分及直腿抬高时间上有优势,但手术时间、术后疼痛、膝关节活动度及术后并发症差异无统计学意义。
[Abstract]:Objective: to evaluate the feasibility and safety of knee arthroplasty via medial femoral approach. [methods] the Pub Medsite EMbase Cochrane Library was searched by computer at OVID / Medline and Chinese Wanfang database. A randomized controlled clinical study of medial submuscular approach to medial femoral approach compared with the traditional medial parrapatellar approach was collected to evaluate the methodological bias of the literature according to the risk bias assessment tool provided by the Cochrane cooperative network. The literature data were extracted and Meta analysis was carried out with Rev Man 5.3.0 software. [results] A total of 13 articles were included, including 12 randomized controlled studies and 1 semi-randomized controlled study. The results of Meta-analysis of 1 246 cases of knee joint showed the time of straight leg elevation after operation. In early KSS score the medial femoral approach was superior to the traditional medial parrapatellar approach but there was no significant difference in operative time postoperative pain knee motion and postoperative complications. [conclusion] compared with the traditional medial parrapatellar approach, total knee arthroplasty via medial femoral muscle approach has advantages in early KSS score and leg elevation time, but the operative time and postoperative pain. There was no significant difference in knee motion and postoperative complications.
【作者单位】：徐州医科大学;徐州医科大学附属医院创伤骨科;
【分类号】：R687.4

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