Department of Obstetric Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Medicine (Baltimore). 2021 Sep 17;100(37):e27156. doi: 10.1097/MD.0000000000027156.
The purpose of this meta-analysis was to assess the effects of Modified Robert Jones Bandage (MRJB) in primary total knee arthroplasty (TKA).
PubMed, EMBASE, the Cochrane Library, Web of Science, and Google Scholar were systematically searched for randomized controlled trials (RCTs). All RCTs were compared to receive either MRJB (study group) or conventional wound dressing (control group) in TKA. Statistical analysis was assessed using RevMan 5.3 software.
A total of 5 RCTs involving 362 patients were included in the meta-analysis. No significant difference between the 2 groups was found in terms of total blood loss (Mean difference [MD], -25.41; 95% confidence interval [CI], -90.52 to 39.70; P = .44), intra-operative blood loss (MD, -13.77; 95% CI, -31.84 to 4.29; P = .14), drain blood loss (MD, 0.83; 95% CI, -30.07 to 31.72; P = .96), and transfusion rate (risk ratio, 0.95; 95% CI, 0.55-1.64; P = .86); There was also no significant difference in terms of range of motion (MD, -0.93; 95% CI, -3.64 to 1.79; P = .50), visual analog scale pain sores (MD, -0.02; 95% CI, -0.34 to 0.30; P = .90), and operative time (MD, -3.12; 95% CI, -13.42 to 7.18; P = .55), without increasing the risk of wound-related complications (risk ratio, 0.75; 95% CI, 0.27-2.08; P = .58) in both groups. No deep venous thrombosis occurred in all studies.
The current meta-analysis of the available evidence indicates patients with MRJB had not required the additional advantage compared to the conventional wound dressing for TKA. However, more high-quality studies are needed to confirm the above conclusions.
Level I, therapeutic study.
本荟萃分析旨在评估改良罗伯特·琼斯绷带（MRJB）在初次全膝关节置换术（TKA）中的效果。
系统检索了 PubMed、EMBASE、Cochrane 图书馆、Web of Science 和 Google Scholar 中的随机对照试验（RCT）。所有 RCT 均比较了 TKA 中接受 MRJB（研究组）或常规伤口敷料（对照组）的患者。使用 RevMan 5.3 软件评估统计分析。
荟萃分析共纳入 5 项 RCT，涉及 362 名患者。两组在总失血量（平均差值[MD]，-25.41；95%置信区间[CI]，-90.52 至 39.70；P=0.44）、术中失血量（MD，-13.77；95% CI，-31.84 至 4.29；P=0.14）、引流失血量（MD，0.83；95% CI，-30.07 至 31.72；P=0.96）和输血率（风险比，0.95；95% CI，0.55 至 1.64；P=0.86）方面均无显著差异；在关节活动度（MD，-0.93；95% CI，-3.64 至 1.79；P=0.50）、视觉模拟评分疼痛（MD，-0.02；95% CI，-0.34 至 0.30；P=0.90）和手术时间（MD，-3.12；95% CI，-13.42 至 7.18；P=0.55）方面也无显著差异，且不会增加两组伤口相关并发症的风险（风险比，0.75；95% CI，0.27 至 2.08；P=0.58）。所有研究均未发生深静脉血栓形成。
目前对现有证据的荟萃分析表明，与常规伤口敷料相比，MRJB 对 TKA 患者并没有额外的优势。然而，还需要更多高质量的研究来证实上述结论。
I 级，治疗研究。
