罗世兴;赵劲民;苏伟;花奇凯;胡峰;廖亮;

• 1:广西医科大学第一附属医院创伤骨科

摘要(Abstract)：

[目的]比较高屈曲型和传统假体进行全膝置换(total knee arthroplasty,TKA)的术后关节活动度的差异。[方法]检索Medline、Embase、Cochrane library、CBM等,收集高屈曲型和传统假体TKA的对照试验,系统评价各研究质量,提取关节活动度的量化结果,采用RevMan 5.0.18进行Meta分析。[结果]10个研究纳入Meta分析,共1 124膝,其中高屈曲型假体组551膝,传统假体组573膝。统计结果显示:5个随机研究组中两组术后ROM无明显差异(P=0.05);非随机研究组中高屈曲的术后ROM略优于传统假体组(WMD=2.82°,95%CI[0.28,5.36],P=0.03),但也少于5°,缺乏临床意义,并且该结论可能存在一定的发表性偏倚。[结论]目前的证据未能表明高屈曲型假体较传统假体更具提高术后膝ROM的优势。

关键词(KeyWords)： 全膝关节置换术;高屈曲;假体;Meta分析

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 罗世兴;赵劲民;苏伟;花奇凯;胡峰;廖亮;

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参考文献(References)：

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