摘要
[目的]系统评价经股内侧肌下入路行膝关节置换术的可行性及安全性。[方法]计算机检索Pub Med、EMbase、Cochrane图书馆、OVID/Medline和中国万方数据库。全面收集有关股内侧肌下入路对比传统内侧髌旁入路的临床随机对照研究,按Cochrane协作网提供的风险偏倚评估工具对文献的方法学偏倚进行评价,提取文献数据并使用Rev Man 5.3.0软件进行Meta分析。[结果]最终纳入13篇文献,其中12篇随机对照研究,1篇半随机对照研究,共1 246例膝关节。Meta分析结果显示在术后直腿抬高时间、早期KSS功能评分方面股内侧肌入路优于传统内侧髌旁入路,但在手术时间、术后疼痛、膝关节活动度及术后并发症的差异无统计学意义。[结论]与传统内侧髌旁入路相比,经股内侧肌入路行全膝关节置换在术后早期KSS功能评分及直腿抬高时间上有优势,但手术时间、术后疼痛、膝关节活动度及术后并发症差异无统计学意义。
[Objective] To evaluate the feasibility and safety of subvastus versus medial parapatellar approach in total knee arthroplasty （TKA） . [Methods ] The databases of PubMed, EMbase, Cochrane Library, OVID/Medline, and Wanfang- Data were searched.The randomized controlled trials （RCTs） of subvastus versus medial parapatellar approach in TKA were collected. The methodological biases in the literature collected were assessed using Cochrane Collaboration＇ s risk of bias as- sessment tools. Meta-analysis of the collected data was performed using RevMan 5.3.0. [Results] A total of 13 studies consist- ing of 12 randomized controlled trials and lquasi-randomized controlled trial was enroled,involving the data of 1246 knees.The meta-analysis indicated that subvastus approach was superior to medial parapatellar approach in straight leg raising time and early Knee Society score （KSS） functional score, but there were no significant differences in operation time, postoperative pain, range of knee motion, and postoperative complications between the two groups. [Conclusions] Compared with medial parapatellar approach,subvastus approach in TKA is superior in straight leg raising time and early KSS functional score, but there areno significant differences in operation time, postoperative pain, range of knee motion, and postoperative complications.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2017年第1期38-44,共7页
Orthopedic Journal of China
