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内侧铰链型与后稳定型全膝关节置换术的临床与影像学结果比较：一项荟萃分析。

Comparison of clinical and radiographic results between total knee arthroplasties using medial pivot and posterior-stabilized prosthesis: A meta-analysis.

机构信息

Department of Orthopaedics.

Department of Medical Oncology, Weifang People's Hospital, Weifang, China.

出版信息

Medicine (Baltimore). 2021 Jan 29;100(4):e23809. doi: 10.1097/MD.0000000000023809.

DOI:10.1097/MD.0000000000023809
PMID:33530177
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7850707/
Abstract

OBJECTIVE

To evaluate the clinical and radiographic outcomes of total knee arthroplasties (TKA) between using medial-pivot (MP) and posterior-stabilized (PS) prosthesis. Does MP prosthesis and PS prosthesis influence the clinical results of a TKA?

METHODS

An electronic literature search of PubMed Medline and the Cochrane Library was performed from inception to October 1, 2019. A meta-analysis to compare postoperative outcomes of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Knee Society Score (KSS), range of motion (ROM), complications, and radiographic results between MP and PS prosthesis were conducted.

RESULTS

Seven eligible studies involving 934 adult patients (MP group, n = 461; PS group, n = 473) were identified for analysis. This study showed no significant difference between the 2 groups in the WOMAC scores, KSS, ROM, and complications (P > .05). The differences of the femorotibial angle, position of implant, and patellar tilt were also not significant between the 2 groups (P > .05).

CONCLUSION

The present meta-analysis has shown that patients with the MP prosthesis have similar clinical results as patients with PS prosthesis. Furthermore, the radiographic results, especially patella tilt angle, were also similar between the 2 groups. Therefore, surgeons should be aware that the types of prostheses are not a decisive factor to ensure successful operation.

摘要

目的

评估使用内侧枢轴（MP）和后稳定（PS）假体的全膝关节置换术（TKA）的临床和影像学结果。MP 假体和 PS 假体是否会影响 TKA 的临床结果？

方法

对 PubMed Medline 和 Cochrane 图书馆进行电子文献检索，检索时间从建库至 2019 年 10 月 1 日。对术后 Western Ontario 和 McMaster 大学骨关节炎指数（WOMAC）评分、膝关节学会评分（KSS）、关节活动度（ROM）、并发症和影像学结果进行荟萃分析，比较 MP 和 PS 假体的术后结果。

结果

本研究共纳入 7 项符合条件的研究，涉及 934 例成年患者（MP 组，n=461；PS 组，n=473）。本研究显示，两组 WOMAC 评分、KSS、ROM 和并发症无统计学差异（P>.05）。两组股骨胫骨角、假体位置和髌骨倾斜度也无统计学差异（P>.05）。

结论

本荟萃分析表明，MP 假体患者的临床结果与 PS 假体患者相似。此外，两组的影像学结果，特别是髌骨倾斜角也相似。因此，外科医生应该意识到假体类型不是确保手术成功的决定性因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/04f9a0567e13/medi-100-e23809-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/cece1ab07b6c/medi-100-e23809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/609cdd2d1e0b/medi-100-e23809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/d08d4487bc5d/medi-100-e23809-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/026ac1a35b10/medi-100-e23809-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/430523fa53da/medi-100-e23809-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/a4bced2b4e73/medi-100-e23809-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/ac0848ac4d44/medi-100-e23809-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/04f9a0567e13/medi-100-e23809-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/cece1ab07b6c/medi-100-e23809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/609cdd2d1e0b/medi-100-e23809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/d08d4487bc5d/medi-100-e23809-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/df41ecc360a7/medi-100-e23809-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/026ac1a35b10/medi-100-e23809-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/430523fa53da/medi-100-e23809-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/a4bced2b4e73/medi-100-e23809-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/ac0848ac4d44/medi-100-e23809-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8982/7850707/04f9a0567e13/medi-100-e23809-g009.jpg

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