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[微创全膝关节置换术的当前作用。一项荟萃分析]

[Current role of minimally invasive total knee arthroplasty. A meta-analysis].

作者信息

Kappe T, Flören M, Bieger R, Reichel H

机构信息

Orthopädische Universitätsklinik Ulm am RKU, Ulm, Deutschland.

出版信息

Orthopade. 2011 Aug;40(8):726-30. doi: 10.1007/s00132-011-1791-9.

Abstract

Minimally invasive approaches are increasingly being used in total knee arthroplasty. By means of a review of the literature the pros and cons of minimally invasive approaches for total knee arthroplasty were analyzed. The potential advantages of reduced postoperative pain and improved early range of motion and mobility are opposed by the risks of malpositioning of the prosthetic components and impaired wound healing. Long-term improvement of knee function and quality of life should not be compromised by techniques promising temporary or secondary advantages.

摘要

微创方法在全膝关节置换术中的应用越来越广泛。通过文献综述,分析了全膝关节置换术微创方法的利弊。术后疼痛减轻、早期活动范围和活动能力改善等潜在优势,与假体组件位置不当和伤口愈合受损的风险相抗衡。膝关节功能和生活质量的长期改善不应因那些仅带来暂时或次要优势的技术而受到影响。

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