关键词: Arthroplasty Complication Knee Meta-analysis Robotic-assisted infection

来  源:   DOI:10.1016/j.jor.2023.04.007   PDF(Pubmed)

Abstract:
UNASSIGNED: An increasing proportion of Knee arthroplasty is performed using robotic-assisted surgical techniques. This study sought to use a meta-analytical approach to establish summary rates of surgical site infection in robotic-assisted procedures and compare the rate of deep infections to those seen in conventional knee arthroplasty.
UNASSIGNED: This study performed a literature search across four online databases to establish a summary rate of surgical site infection across two categories: deep infection and superficial and pin-site infections. This was processed with the aid of a bespoke data-extraction tool. Risk of Bias analysis was performed using the Cochrane RoB2 tool. Meta-analysis was then performed with tests for heterogeneity and a DerSimonian-Laird random effects model.
UNASSIGNED: A total of 17 studies were identified as appropriate for inclusion in the meta-analysis. The summary rate of overall surgical site infections within one year of robotic knee arthroplasty was found to be 0.568% (SE = 0.183, 95% CI = 0.209-0.927). Deep infections fell to 0.154% (SE = 0.069, 95% CI = 0.018-0.290) and to 0.347% (SE = 0.109, 95% CI = 0.133-0.561) in superficial and pin-site infections.
UNASSIGNED: The surgical site infection rates were found to be low across robotic knee arthroplasty. Further research is required to prove its superiority compared to the conventional, non-robotic technique.
摘要:
使用机器人辅助的手术技术进行膝关节置换术的比例越来越高。这项研究试图使用荟萃分析方法来建立机器人辅助手术中手术部位感染的汇总率,并将深部感染率与传统膝关节置换术中的感染率进行比较。
这项研究在四个在线数据库中进行了文献检索,以建立两个类别的手术部位感染摘要率:深部感染和浅表和针状部位感染。这是借助定制的数据提取工具进行处理的。使用CochraneRoB2工具进行偏差风险分析。然后用异质性测试和DerSimonian-Laird随机效应模型进行荟萃分析。
共有17项研究被确定为适合纳入荟萃分析。机器人膝关节置换术一年内手术部位感染的总发生率为0.568%(SE=0.183,95%CI=0.209-0.927)。在浅表和针状部位感染中,深部感染降至0.154%(SE=0.069,95%CI=0.018-0.290)和0.347%(SE=0.109,95%CI=0.133-0.561)。
发现机器人膝关节置换术的手术部位感染率较低。需要进一步的研究来证明其相对于常规的优越性,非机器人技术。
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