Cuckler John M
Division of Orthopaedic Surgery, University of Alabama, Birmingham, Birmingham, Alabama 35213, USA.
J Arthroplasty. 2007 Jun;22(4 Suppl 1):99-101. doi: 10.1016/j.arth.2006.12.055.
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!
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!