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全膝关节置换术后膝关节皮肤温度变化的自然史:系统评价和荟萃分析。

Natural history of changes in knee skin temperature following total knee arthroplasty: a systematic review and meta-analysis.

机构信息

Institute for Research in Military Medicine (IRMM) and Institute for Medical Research (IMRIC), Faculty of Medicine, The Hebrew University of Jerusalem and the Israel Defense Forces Medical Corps, POB 12272, 9112001, Jerusalem, Israel.

The Saul and Joyce Brandman Hub for Cardiovascular Research and the Department of Medical Neurobiology, Institute for Medical Research (IMRIC), Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.

出版信息

Sci Rep. 2023 Apr 26;13(1):6810. doi: 10.1038/s41598-023-33556-7.


DOI:10.1038/s41598-023-33556-7
PMID:37100814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10133306/
Abstract

Patients undergoing total-knee arthroplasty (TKA) have transient increases in anterior knee skin temperature (ST) that subside as recovery progresses-except in cases of systemic or local prosthetic joint infections (PJI). This meta-analysis was designed to quantify the changes in knee ST following TKA in patients with uncomplicated recovery as a prerequisite for assessing the usefulness of thermal imaging for diagnosis of PJI. This meta-analysis (PROSPERO-CRD42021269864) was performed according to PRISMA guidelines. PUBMED and EMBASE were searched for studies reporting knee ST of patients that underwent unilateral TKA with uncomplicated recovery. The primary outcome was the weighted means of the differences in ST between the operated and the non-operated knees (ΔST) for each time point (before TKA, and 1 day; 1,2, and 6 weeks; and 3,6, and 12-months post-TKA). For this analysis, 318 patients were included from 10 studies. The elevation in ST was greatest during the first 2-weeks (ΔST = 2.8 °C) and remained higher than pre-surgery levels at 4-6 weeks. At 3-months, ΔST was 1.4 °C. It decreased to 0.9 °C and 0.6 °C at 6 and 12-months respectively. Establishing the baseline profile of knee ST following TKA provides the necessary first step for evaluating the usefulness of thermography for the diagnosis of post-procedural PJI.

摘要

接受全膝关节置换术(TKA)的患者在前膝关节皮肤温度(ST)上会出现短暂升高,随着恢复的进展而消退——除非发生全身性或局部假体关节感染(PJI)。本荟萃分析旨在量化 TKA 后无并发症恢复患者的膝关节 ST 变化,这是评估热成像对 PJI 诊断有用性的前提。本荟萃分析(PROSPERO-CRD42021269864)按照 PRISMA 指南进行。在 PUBMED 和 EMBASE 上搜索报告单侧 TKA 后无并发症恢复的患者膝关节 ST 的研究。主要结局是每个时间点(TKA 前、术后 1 天、1、2 和 6 周以及术后 3、6 和 12 个月)手术侧和非手术侧膝关节 ST 的加权平均值差异(ΔST)。本分析纳入了 10 项研究的 318 名患者。ST 的升高在最初的 2 周内最大(ΔST=2.8°C),并且在 4-6 周时仍高于术前水平。在 3 个月时,ΔST 为 1.4°C。在 6 个月和 12 个月时,分别降至 0.9°C 和 0.6°C。建立 TKA 后膝关节 ST 的基线特征为评估热成像对术后 PJI 诊断的有用性提供了必要的第一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/fb02b3e7f1b5/41598_2023_33556_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/f0de884eb356/41598_2023_33556_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/2af64a0c15c0/41598_2023_33556_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/04b8843bbc3f/41598_2023_33556_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/0b54cfcf0394/41598_2023_33556_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/fb02b3e7f1b5/41598_2023_33556_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/f0de884eb356/41598_2023_33556_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/2af64a0c15c0/41598_2023_33556_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/04b8843bbc3f/41598_2023_33556_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/0b54cfcf0394/41598_2023_33556_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/10133306/fb02b3e7f1b5/41598_2023_33556_Fig5_HTML.jpg

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Natural history of changes in knee skin temperature following total knee arthroplasty: a systematic review and meta-analysis.

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引用本文的文献

[1]
Skin Temperature Change Following Infected and Non-infected Total Knee Arthroplasty: A Systematic Review.

Cureus. 2025-5-21

[2]
How to monitor and discriminate the causes of lower limb swelling during home-based rehabilitation after total knee arthroplasty? A delphi study.

Arthroplasty. 2025-1-7

本文引用的文献

[1]
Applications of thermal imaging with infrared thermography in Orthopaedics.

J Clin Orthop Trauma. 2021-11-29

[2]
Thermographic Assessment of Reperfusion Profile Following Using a Tourniquet in Total Knee Arthroplasty: A Prospective Observational Study.

Med Devices (Auckl). 2021-5-10

[3]
The EBJIS definition of periprosthetic joint infection.

Bone Joint J. 2021-1

[4]
Cutaneous temperature and pressure pain threshold in individuals with knee osteoarthritis.

Reumatologia. 2020

[5]
The role of infrared dermal thermometry in the management of neuropathic diabetic foot ulcers.

Diabet Med. 2021-4

[6]
Medical applications of infrared thermography: A review.

Infrared Phys Technol. 2012-7

[7]
Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update).

Diabetes Metab Res Rev. 2020-3

[8]
Microcirculatory Response to Photobiomodulation-Why Some Respond and Others Do Not: A Randomized Controlled Study.

Lasers Surg Med. 2020-11

[9]
Diagnosis and Prevention of Periprosthetic Joint Infections.

J Am Acad Orthop Surg. 2020-4-15

[10]
Thermography and colour Doppler ultrasound: a potential complementary diagnostic tool in evaluation of rheumatoid arthritis in the knee region.

Biomed Tech (Berl). 2020-5-26

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