中国组织工程研究与临床康复2011，Vol.15Issue(9)：1599-1602,4.DOI:10.3969/j.issn.1673-8225.2011.09.019
计算机导航技术辅助全髋关节置换的系统分析
Meta analysis of computer navigation in total hip arthroplasty
廖亮 1赵劲民 1苏伟 1沙轲 1谭桢1
作者信息
- 1. 广西医科大学第一附属医院创伤骨科手外科,广西壮族自治区南宁市,530021
- 折叠
摘要
Abstract
BACKGROUND: Traditional operation frequently depends on experience of doctors and anatomic landmark visual observation,which often leads to deviation in acetabular prosthesis implantation. Computer navigation technique greatly improves accuracy of prosthesis implantation.OBJECTIVE: To assess the accuracy and clinical significance of computer navigation for acetabular implantation in total hip arthroplasty.METHODS: A computer-based online search of Cochrane Library, Medline, Embase, CBM, and CNKI was performed, and related Chinese journals were manually searched. Clinical trials were selected and analyzed using RevMan5.0.18 software.RESULTS AND CONCLUSION: A total of 9 clinical trials were included, involving 695 cases. Meta analysis showed that compared with traditional surgery, acetabular component of computer navigation technology in total hip arthroplasty was more accurate in prosthesis position [RR=0.22, 95％ C/(0.14-0.34), P ＜ 0.000 01], the degree of inclination angles [RR=-1 .76, 95％ CI (-5.02 to 1.50), P=0.29], but no differences in the degree of anteversion angles [RR=-1.28, 95％ CI (-5.68 to 3.12), P=0.57], and postoperative dislocation rate [RR = 1.25, 95％CI (0.05-31.66), P = 0.89]. There was no statistical difference between navigation applications and traditional surgery in the accuracy of acetabular position.关键词
计算机辅助手术/导航技术/全髋关节置换/假体/系统分析分类
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廖亮,赵劲民,苏伟,沙轲,谭桢..计算机导航技术辅助全髋关节置换的系统分析[J].中国组织工程研究与临床康复,2011,15(9):1599-1602,4.
