单髁膝关节置换术的翻修：一项系统评价
Revision of unicompartmental knee arthroplasty: a systematic review.
作者信息
Migliorini Filippo, Bosco Francesco, Schäfer Luise, Cocconi Federico, Kämmer Daniel, Bell Andreas, Vaish Abhishek, Koettnitz Julian, Eschweiler Jörg, Vaishya Raju
机构信息
Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Medical Centre, Pauwelsstraße 30, 52074, Aachen, Germany.
Department of Orthopedics and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100, Bolzano, Italy.
出版信息
BMC Musculoskelet Disord. 2024 Dec 2;25(1):985. doi: 10.1186/s12891-024-08112-7.
BACKGROUND
Unicompartmental knee arthroplasty (UKA) is a surgical procedure for managing osteoarthritis of one joint compartment, most commonly the medial side. This systematic review investigates the causes of UKA revision. The outcomes of interest were establishing the revision rate, time to revision, and the most common causes of revision in the long- and midterm follow-up.
METHODS
This study was conducted according to the 2020 PRISMA statement. In October 2024, the following databases were accessed: PubMed, Web of Science, Google Scholar, and Embase. All the clinical studies investigating the rate and causes of revision in UKA were accessed. Only studies with a minimum of 10 years of follow-up were considered.
RESULTS
Data from 56 studies (13,540 patients) were collected. Of them, 65.6% were women. The mean length of the follow-up was 13.1 ± 3.0 years. The mean age of the patients was 65.6 ± 5.6 years, and the mean BMI was 28.5 ± 2.2 kg/m. Revisions were performed in 8.8% (2641 of 30,140) of implanted UKAs. The mean time to revision was 6.5 ± 2.6 (range, 2.5 to 13.0) years.
CONCLUSION
8.8% (2641 of 30,140) of UKAs were revised at a mean time of 6.5 ± 2.6 years.
LEVEL OF EVIDENCE
Level IV, systematic review.
背景
单髁膝关节置换术（UKA）是一种用于治疗一个关节间室骨关节炎的外科手术，最常见的是内侧间室。本系统评价旨在调查UKA翻修的原因。感兴趣的结果是确定翻修率、翻修时间以及中长期随访中最常见的翻修原因。
方法
本研究按照2020年PRISMA声明进行。2024年10月，检索了以下数据库：PubMed、科学网、谷歌学术和Embase。纳入了所有调查UKA翻修率和原因的临床研究。仅纳入随访时间至少为10年的研究。
结果
收集了56项研究（13540例患者）的数据。其中，65.6%为女性。平均随访时间为13.1±3.0年。患者的平均年龄为65.6±5.6岁，平均体重指数为28.5±2.2kg/m²。在植入的UKA中，8.8%（30140例中的2641例）进行了翻修。平均翻修时间为6.5±2.6（范围2.5至13.0）年。
结论
8.8%（30140例中的2641例）的UKA在平均6.5±2.6年时进行了翻修。
证据级别
IV级，系统评价。
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