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管理信息系统运动的阴暗面:肯定的一面。

The ugly underbelly of the MIS movement: in the affirmative.

作者信息

Cuckler John M

机构信息

Division of Orthopaedic Surgery, University of Alabama, Birmingham, Birmingham, Alabama 35213, USA.

出版信息

J Arthroplasty. 2007 Jun;22(4 Suppl 1):99-101. doi: 10.1016/j.arth.2006.12.055.

DOI:10.1016/j.arth.2006.12.055
PMID:17570288
Abstract

Minimally invasive surgery (MIS) for hip or knee arthroplasty has been a recent rage in orthopedics. However, there are no substantial data supporting the use of these techniques, and multiple articles document increased risk of complications with MIS technique. Unfortunately, a huge marketing effort on the part of the implant industry and many surgeons is creating pressure on surgeons to sacrifice the quality of outcome for purported improved cosmesis or shorter length of hospital stay. This review examines the data from prospective studies evaluating the outcomes of MIS techniques and implores the surgeon to place quality before decreased incisional quantity!

摘要

髋关节或膝关节置换的微创手术(MIS)近来在骨科领域风靡一时。然而,尚无大量数据支持这些技术的应用,多篇文章记载了MIS技术并发症风险的增加。不幸的是,植入物行业和许多外科医生进行的大量营销活动给外科医生带来了压力,迫使他们为了所谓的改善美观或缩短住院时间而牺牲手术效果质量。本综述审视了评估MIS技术效果的前瞻性研究数据,并恳请外科医生将质量置于减少切口数量之前!

相似文献

1
The ugly underbelly of the MIS movement: in the affirmative.管理信息系统运动的阴暗面:肯定的一面。
J Arthroplasty. 2007 Jun;22(4 Suppl 1):99-101. doi: 10.1016/j.arth.2006.12.055.
2
The ugly underbelly of the MIS movement: in opposition.管理信息系统运动的阴暗面:反对意见
J Arthroplasty. 2007 Jun;22(4 Suppl 1):102-5. doi: 10.1016/j.arth.2006.12.114.
3
Outcomes-based evaluations supporting computer-assisted surgery and minimally invasive surgery for total hip arthroplasty.基于结果的评估支持全髋关节置换术的计算机辅助手术和微创手术。
Expert Rev Med Devices. 2007 Nov;4(6):873-83. doi: 10.1586/17434440.4.6.873.
4
Mechanical accuracy of navigated minimally invasive total knee arthroplasty (MIS TKA).导航微创全膝关节置换术(MIS TKA)的机械精度
Knee. 2009 Jan;16(1):22-9. doi: 10.1016/j.knee.2008.09.010. Epub 2008 Dec 13.
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Hip arthroplasty with minimally invasive surgery: a survey comparing the opinion of highly qualified experts vs patients.微创髋关节置换术:一项比较高素质专家与患者意见的调查
J Arthroplasty. 2006 Sep;21(6 Suppl 2):38-46. doi: 10.1016/j.arth.2006.05.004.
6
[Total hip replacement from a MIS-AL approach (comparison with a standard anterolateral approach)].[微创前外侧入路全髋关节置换术(与标准前外侧入路的比较)]
Acta Chir Orthop Traumatol Cech. 2009 Aug;76(4):288-94.
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Minimally invasive approaches in total hip arthroplasty.全髋关节置换术中的微创入路
Ortop Traumatol Rehabil. 2007 Jan-Feb;9(1):1-7.
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Comparative study on early period of recovery between minimally invasive surgery total knee arthroplasty and minimally invasive surgery-quadriceps sparing total knee arthroplasty in Chinese patients.中国患者微创全膝关节置换术与微创股四头肌保留全膝关节置换术早期恢复情况的比较研究
Chin Med J (Engl). 2008 Aug 5;121(15):1353-7.
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Comparative study between computer assisted-navigation and conventional technique in minimally invasive surgery total knee arthroplasty, prospective control study.计算机辅助导航与传统技术在微创全膝关节置换术中的比较研究,前瞻性对照研究。
J Med Assoc Thai. 2008 Sep;91(9):1382-8.
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Internet promotion of minimally invasive surgery and computer-assisted orthopedic surgery in total knee arthroplasty by members of American Association Of Hip And Knee Surgeons.美国髋膝关节外科医生协会成员对全膝关节置换术中微创手术和计算机辅助骨科手术的网络推广。
J Arthroplasty. 2007 Sep;22(6 Suppl 2):13-6. doi: 10.1016/j.arth.2007.03.026. Epub 2007 Jul 26.

引用本文的文献

1
[A prospective randomized controlled study of total knee arthroplasty via mini-subvastus and conventional approach].[经小股直肌入路与传统入路行全膝关节置换术的前瞻性随机对照研究]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Feb 15;32(2):162-168. doi: 10.7507/1002-1892.201710075.