下肢关节修复与置换：综述
Lower limb joint repair and replacement: an overview.
作者信息
Aicale Rocco, Maffulli Nicola
机构信息
Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Baronissi, Italy.
Clinica Ortopedica, Ospedale San Diovanni di Dio e Ruggi D'Aragona, Salerno, Italy.
出版信息
F1000Res. 2019 Dec 19;8. doi: 10.12688/f1000research.17200.1. eCollection 2019.
Abstract
In the last few years, much has been published concerning total joint arthroplasty, and debates and discussions to new questions and points of view started many years ago. In this commentary, we report the latest evidence of best practice in the field of lower limb arthroplasty; this evidence is based on a literature search conducted by using PubMed and Scopus databases with a time limit of five years. We found novel evidence regarding cemented and not cemented implant, implant design, anticoagulant use, tourniquets, and other aspects of joints replacement surgery that we consider a common part of modern orthopedic practice. We specifically focus on lower limb joint replacement.
摘要
在过去几年里，已经发表了许多关于全关节置换术的文章，并且针对新问题和新观点的辩论与讨论在多年前就已展开。在这篇评论中，我们报告了下肢关节置换领域最佳实践的最新证据；该证据基于使用PubMed和Scopus数据库进行的文献检索，检索时间限制为五年。我们发现了关于骨水泥型和非骨水泥型植入物、植入物设计、抗凝剂使用、止血带以及关节置换手术其他方面的新证据，我们认为这些是现代骨科实践的常见组成部分。我们特别关注下肢关节置换。
相似文献
1
Lower limb joint repair and replacement: an overview.下肢关节修复与置换：综述
F1000Res. 2019 Dec 19;8. doi: 10.12688/f1000research.17200.1. eCollection 2019.
2
Obesity and the role of bariatric surgery in the surgical management of osteoarthritis of the hip and knee: a review of the literature.肥胖与减重手术在髋膝关节骨关节炎外科治疗中的作用：文献综述
Surg Obes Relat Dis. 2017 Jan;13(1):111-118. doi: 10.1016/j.soard.2016.09.011. Epub 2016 Sep 14.
3
Relation between lower extremity alignment and proximal femur anatomy. Parameters during total hip arthroplasty.下肢对线与股骨近端解剖的关系。全髋关节置换术中的参数。
Orthop Traumatol Surg Res. 2013 Sep;99(5):493-500. doi: 10.1016/j.otsr.2013.02.006. Epub 2013 Jun 24.
4
Joint replacement surgery in Ghana (West Africa)-an observational study.加纳（西非）的关节置换手术——一项观察性研究。
Int Orthop. 2019 May;43(5):1041-1047. doi: 10.1007/s00264-019-04286-1. Epub 2019 Jan 24.
5
Athletic activity after lower limb arthroplasty: a systematic review of current evidence.下肢关节置换术后的体育活动：当前证据的系统评价。
Bone Joint J. 2014 Jul;96-B(7):923-7. doi: 10.1302/0301-620X.96B7.31585.
6
Nonrandom evolution of end-stage osteoarthritis of the lower limbs.下肢终末期骨关节炎的非随机演变
Arthritis Rheum. 2002 Dec;46(12):3185-9. doi: 10.1002/art.10649.
7
Unipedal balance is affected by lower extremity joint arthroplasty procedure 1 year following surgery.单足平衡在手术后1年受到下肢关节置换手术的影响。
J Arthroplasty. 2015 Feb;30(2):286-9. doi: 10.1016/j.arth.2014.08.031. Epub 2014 Sep 6.
8
[Influence of the Type of Hip-Component Fixation and Age of Patients on Mid-Term Revision Rate of Total Hip Replacement].[髋关节假体固定类型及患者年龄对全髋关节置换中期翻修率的影响]
Acta Chir Orthop Traumatol Cech. 2018;85(1):46-53.
9
Reliability of the hip-to-ankle radiograph in determining the knee and implant alignment after total knee arthroplasty.全膝关节置换术后髋至踝关节X线片在确定膝关节及植入物对线方面的可靠性。
Acta Orthop Belg. 2011 Jun;77(3):329-35.
10
[Sport after Total Knee and Hip Arthroplasty].[全膝关节和髋关节置换术后的运动]
Sportverletz Sportschaden. 2017 Dec;31(4):207-212. doi: 10.1055/s-0043-120880. Epub 2017 Dec 11.
引用本文的文献
1
NOACs for VTE prevention in patients with lower limb fracture: a systematic review and meta-analysis.用于预防下肢骨折患者静脉血栓栓塞症的新型口服抗凝药：一项系统评价与荟萃分析。
J Orthop Surg Res. 2025 Jul 15;20(1):659. doi: 10.1186/s13018-025-06092-5.
2
Kinematic alignment in total knee arthroplasty restores the native anatomy, with a joint line parallel to the ground on a standing view.全膝关节置换术中的运动学对线可恢复自然解剖结构，在站立位时关节线与地面平行。
J Orthop. 2025 May 26;69:142-149. doi: 10.1016/j.jor.2025.05.051. eCollection 2025 Nov.
3
Engineering innovations in medicine and biology: Revolutionizing patient care through mechanical solutions.医学与生物学中的工程创新：通过机械解决方案彻底改变患者护理。
Heliyon. 2024 Feb 15;10(4):e26154. doi: 10.1016/j.heliyon.2024.e26154. eCollection 2024 Feb 29.
4
Association between type of anesthesia and length of hospital stay in primary unilateral total knee arthroplasty patients: a single-center retrospective study.原发性单侧全膝关节置换术患者中麻醉类型与住院时间的关系：一项单中心回顾性研究。
J Orthop Surg Res. 2021 Nov 15;16(1):671. doi: 10.1186/s13018-021-02817-4.
5
Infinity ankle arthroplasty with traditional instrumentation and PSI prophecy system: preliminary results.采用传统器械和 PSI 预测系统的 Infinity 踝关节置换术：初步结果。
Acta Biomed. 2020 Dec 30;91(14-S):e2020021. doi: 10.23750/abm.v91i14-S.10989.
本文引用的文献
1
Enhanced recovery short-stay hip and knee joint replacement program improves patients outcomes while reducing hospital costs.强化康复短期髋膝关节置换项目可改善患者预后，同时降低医院成本。
Orthop Traumatol Surg Res. 2019 Nov;105(7):1237-1243. doi: 10.1016/j.otsr.2019.08.013. Epub 2019 Oct 3.
2
The Efficacy of Tranexamic Acid in Total Hip Arthroplasty: A Network Meta-analysis.氨甲环酸在全髋关节置换术中的疗效：一项网状荟萃分析。
J Arthroplasty. 2018 Oct;33(10):3083-3089.e4. doi: 10.1016/j.arth.2018.06.023. Epub 2018 Jun 27.
3
Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: Focus on Anesthesiology for Total Knee Arthroplasty.为医疗保健研究和质量安全计划进行的证据审查：重点关注全膝关节置换术的麻醉。
Anesth Analg. 2019 Mar;128(3):441-453. doi: 10.1213/ANE.0000000000003564.
4
What's New in Adult Reconstructive Knee Surgery.成人膝关节重建手术的新进展
J Bone Joint Surg Am. 2018 Jan 17;100(2):166-175. doi: 10.2106/JBJS.17.01148.
5
The efficacy of tranexamic acid using oral administration in total knee arthroplasty: a systematic review and meta-analysis.全膝关节置换术中口服氨甲环酸的疗效：一项系统评价和荟萃分析。
J Orthop Surg Res. 2017 Oct 27;12(1):159. doi: 10.1186/s13018-017-0660-6.
6
What's New in Hip Replacement.髋关节置换的新进展。
J Bone Joint Surg Am. 2017 Sep 20;99(18):1591-1596. doi: 10.2106/JBJS.17.00704.
7
Acute Wound Complications After Total Knee Arthroplasty: Prevention and Management.全膝关节置换术后的急性伤口并发症：预防与处理
J Am Acad Orthop Surg. 2017 Aug;25(8):547-555. doi: 10.5435/JAAOS-D-15-00402.
8
The direct anterior approach in total hip arthroplasty: a systematic review of the literature.全髋关节置换术中的直接前路入路：文献系统综述
Bone Joint J. 2017 Jun;99-B(6):732-740. doi: 10.1302/0301-620X.99B6.38053.
9
Investigation of Taper Failure in a Contemporary Metal-on-Metal Hip Arthroplasty System Through Examination of Unused and Explanted Prostheses.通过对未使用和已取出假体的检查来研究当代金属对金属髋关节置换系统中的锥形失败。
J Bone Joint Surg Am. 2017 Mar 1;99(5):427-436. doi: 10.2106/JBJS.15.00917.
10
No Difference in Periprosthetic Bone Loss and Fixation Between a Standard-Length Stem and a Shorter Version in Cementless Total Hip Arthroplasty. A Randomized Controlled Trial.非骨水泥型全髋关节置换术中标准长度股骨柄与较短型股骨柄周围骨丢失及固定情况的差异：一项随机对照试验
J Arthroplasty. 2017 Apr;32(4):1220-1226. doi: 10.1016/j.arth.2016.11.015. Epub 2016 Nov 17.
Zotero 插件