同期双侧单髁膝关节置换术的安全性与疗效：一项系统评价
Safety and outcome of simultaneous bilateral unicompartmental knee arthroplasty: A systematic review.
作者信息
Malahias Michael-Alexander, Manolopoulos Philip P, Mancino Fabio, Jang Seong J, Gu Alex, Giotis Dimitrios, Denti Matteo, Nikolaou Vasileios S, Sculco Peter K
机构信息
The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
School of Medicine, European University of Cyprus, Diogenis Str 6 Nicosia CY, 2404, Cyprus.
出版信息
J Orthop. 2021 Feb 19;24:58-64. doi: 10.1016/j.jor.2021.02.019. eCollection 2021 Mar-Apr.
Abstract
PURPOSE
Simultaneous bilateral unicompartmentsl knee arthroplasty (BUKA) is considered safe and effective. We performed a systematic review to assess the postoperative outcomes.
METHODS
The US National Library of Medicine (PubMed/MEDLINE), Google Scholar, and the Cochrane Database of Systematic Reviews were queried for publications.
RESULTS
Ten articles were included with 765 simultaneous BUKA. Overall complication rate was 7.0%, survivorship was 97.6% at mean 17 months follow-up. No differences were reported between simultaneous and staged BUKA.
CONCLUSION
Simultaneous BUKA is as safe as staged BUKA, it is associated with decreased length of stay and operative time, although it has an increased rate of blood transfusion.
摘要
目的
同期双侧单髁膝关节置换术（BUKA）被认为是安全有效的。我们进行了一项系统评价以评估术后结果。
方法
检索美国国立医学图书馆（PubMed/MEDLINE）、谷歌学术和考克兰系统评价数据库中的出版物。
结果
纳入10篇文章，共765例同期BUKA。总体并发症发生率为7.0%，平均随访17个月时的生存率为97.6%。同期和分期BUKA之间未报告有差异。
结论
同期BUKA与分期BUKA一样安全，它与住院时间和手术时间的缩短有关，尽管其输血率有所增加。
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