中国组织工程研究与临床康复2011，Vol.15Issue(43)：8097-8103,7.DOI:10.3969/j.issn.1673-8225.2011.43.029
全膝关节置换中髌骨置换效果的系统评价
Systematic evaluation of patellar replacement in total knee arthroplasty
成世高 1王万春 2肖扬 1伍旭辉 1李健1
作者信息
- 1. 湖南省娄底市中心医院,湖南省娄底市,417000
- 2. 中南大学湘雅二医院,湖南省长沙市,410011
- 折叠
摘要
Abstract
BACKGROUND: Whether patellar displacement is performed during total knee replacement or not has been controversial. OBJECTIVE: To evaluate the efficacy of patellar replacement during total knee arthroplasty systematically, and to provide references for further clinical research and medical practice.METHODS: In accordance with strict inclusion and exclusion criteria and the pre-developed search strategy, the following databases and journals were searched for relavant articles: Cochrane Central Register of Controlled Trials, MEDLINE-, PubMed-. EMBASE-. CBM, CNKI and VIP. Mela analysis used the Revman 5.0.25 software provided by Cochrane collaboration. RESULTS AND CONCLUSION: 1788 knees were included in the 14 published trials, including S86 knees in the patellar resurfacing group and 902 in the pateltar non resurfacing group. The result of the m eta-ana lysis Indicated that the risk of postoperative anterior knee pain was lower in patellar resurfacing group than in patellar non resurfacing group between 5 years and 7.5 years. The combined RR was 0.19, 95%CI (0.11. 0.31). But the difference did not exist within 5 years or after 7.5 years. The risk of reoperation had no significant difference between the patellar resurfacing group and patellar non resurfacing group within 5 years. But 5 years later, the risk of reoperation was lower in the patellar resurfacing group than in the patellar nonresurfacing group. The combined RR was 0.49, 95%CI (0.33, 0.75). Whatever using sub-group analysis or using general analysis, there was no difference in the mean postoperative knee scores. Weighted mean difference for the results of the general analysis was 0.26. 95%C/(-I 39.1.90). Whatever using sub-group analysis or using general analysis, there was no difference in patient satisfaction. The combined RR for patient satisfaction was 1.01, 95%C/ (0.97.1.05). The efficacy of resurfacing the patella in total knee arthroplasty is better than nonresurfacing the patella in total knee arthroplasty.关键词
髌骨置换/全膝关节置换术/膝前痛发生率/再手术率/kSS评分/患者满意度/Meta分析分类
医药卫生引用本文复制引用
成世高,王万春,肖扬,伍旭辉,李健..全膝关节置换中髌骨置换效果的系统评价[J].中国组织工程研究与临床康复,2011,15(43):8097-8103,7.
