全膝关节置换术中的非骨水泥固定：当前证据与未来展望。
Cementless fixation in total knee arthroplasty: current evidence and future perspective.
作者信息
Haslhofer David J, Kraml Nikolaus, Stadler Christian, Gotterbarm Tobias, Klotz Matthias C, Klasan Antonio
机构信息
Department for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstrasse 9, 4020 Linz and Altenberger Strasse 69, 4040, Linz, Austria.
Marienhospital Soest, Orthopedics and Trauma Surgery, Widumgasse 5, 59494, Soest, Germany.
出版信息
Arch Orthop Trauma Surg. 2024 Dec 28;145(1):101. doi: 10.1007/s00402-024-05670-2.
INTRODUCTION
Cementless fixation plays an increasing role in total knee arthroplasty (TKA). The objective of this review article is to analyze functional outcomes and survivorship of cementless TKA.
MATERIALS AND METHODS
A comprehensive literature search for studies reviewing the outcome and survivorship of cementless TKA was conducted. This search was based on the PRISMA 2020 guidelines using PubMed, Medline, and Embase. The included studies were screened by two independent observers.
RESULTS
From 2010 to 2022, fifteen studies were included. Eleven studies compared cementless and cemented TKA. Four studies only covered cementless implants. Survivorship and functional outcomes of cementless TKA are at least comparable to those of cemented implants.
CONCLUSION
With improvement in manufacturing, and surgical tools for more precise delivery, such as robotic assisted TKA and 3D-printed implants, one can expect increase in usage of cementless TKA, due to a more biological fixation, better survivorship, and outcomes.
引言
非骨水泥固定在全膝关节置换术（TKA）中发挥着越来越重要的作用。本文献综述的目的是分析非骨水泥型TKA的功能结果和生存率。
材料与方法
对回顾非骨水泥型TKA结果和生存率的研究进行了全面的文献检索。该检索基于使用PubMed、Medline和Embase的PRISMA 2020指南。纳入的研究由两名独立观察员进行筛选。
结果
2010年至2022年，共纳入15项研究。11项研究比较了非骨水泥型和骨水泥型TKA。4项研究仅涵盖非骨水泥型植入物。非骨水泥型TKA的生存率和功能结果至少与骨水泥型植入物相当。
结论
随着制造工艺的改进以及用于更精确植入的手术工具的出现，如机器人辅助TKA和3D打印植入物，由于更具生物性的固定、更好的生存率和结果，预计非骨水泥型TKA的使用将会增加。
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