杨博宇;张弛;叶琦;高峻岭;朱银乐;马峥;王洪根;孙雁宇;马一功;

• 1:福建省厦门市第二医院骨科
• 2:复旦大学附属中山医院骨科
• 3:复旦大学图书馆医科馆
• 4:复旦大学公共卫生学院

摘要(Abstract)：

[目的]系统评价髌骨置换与不置换髌骨的全膝关节置换术的术后疗效。[方法]收集1966～2010发表的所有比较髌骨置换与不置换髌骨全膝关节置换后疗效的随机对照试验,对其逐个进行质量评价,提取关于置换后再手术率、前膝痛发生率、患者满意率及各种评分系统测评的膝关节评分的改善,并作系统评价。[结果]11个随机对照试验共纳入1473例膝,置换髌骨与未置换组的再次手术率差异有显著性意义(相对危险度=0.54,95%可信区间为0.35～0.84);未置换髌骨组再次接受手术的概率比较大。置换髌骨与未置换组的置换后前膝疼痛发生率差异有显著性意义(相对危险度=0.53,95%可信区间为0.39～0.71)。置换髌骨与未置换组的术后患者满意率差异无显著性意义(相对危险度=1.14,95%可信区间为0.74～1.76)。置换髌骨与未置换组的术后KSS评分差异无显著性意义(加权均数差=1.15,95%可信区间为-0.23～2.53)。[结论]置换髌骨的全膝关节置换术中,远期随访再手术率、置换后前膝痛发生率低于未置换髌骨组,患者满意率及置换后膝关节KSS评分方面,两种髌骨处理方式无显著性差异。由于纳入文献质量差异较大,对此结论的解释应保持谨慎。

关键词(KeyWords)： 全膝关节置换;髌骨;系统评价;假体设计

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 杨博宇;张弛;叶琦;高峻岭;朱银乐;马峥;王洪根;孙雁宇;马一功;

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