采用运动学对位与机械对位进行初级全膝关节置换术的结果是否存在差异？

IF 3.4 2区医学 Q1 ORTHOPEDICS

Journal of Arthroplasty Pub Date : 2024-10-18 DOI:10.1016/j.arth.2024.10.039

George A Komnos, Tom Meade, Mohammadmahdi Sarzaeem, Mark Spangehl, Goksel Dikmen, Nifon K Gkekas, İbrahim Azboy, Roshan P Shah

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引用次数: 0

摘要

回应/建议：运动学对位（KA）显示，患者报告的结果测量（PROMs）在早期恢复时有所改善，但在中期随访后则相等。KA 以原生关节线偏斜为目标，重新接近关节炎前的对位，因此较少的软组织调整可能是造成早期差异的原因。几项随机对照试验（RCT）和系统性综述都未能发现具有持久临床意义的差异；未来需要进行非商业性、无偏见的一级研究，以阐明长期临床结果和成本效益。

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Is there a difference in the outcome of primary total knee arthroplasty performed using kinematic versus mechanical alignment?

Response/recommendation: Kinematic alignment (KA) shows improved patient-reported outcome measurements (PROMs) in early recovery but equivalence past mid-term follow-up. KA targets a native joint line obliquity and reapproximates pre-arthritic alignment, thus less soft-tissue adjustment may account for early differences. Several randomized controlled trials (RCTs) and systematic reviews fail to identify a durable clinically meaningful difference; Future non-commercial, non-biased, level-one studies are needed to elucidate long-term clinical outcomes and cost-effectiveness.

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来源期刊

Journal of Arthroplasty 医学-整形外科

CiteScore

7.00

自引率

20.00%

发文量

734

审稿时长

48 days

期刊介绍： The Journal of Arthroplasty brings together the clinical and scientific foundations for joint replacement. This peer-reviewed journal publishes original research and manuscripts of the highest quality from all areas relating to joint replacement or the treatment of its complications, including those dealing with clinical series and experience, prosthetic design, biomechanics, biomaterials, metallurgy, biologic response to arthroplasty materials in vivo and in vitro.