PDF(Pubmed)
Abstract：
Background: Aseptic loosening is one of the most common modes of failure of total ankle replacement (TAR). However, a precise definition of aseptic loosening is still lacking. This systematic review aimed to identify the variations of applied definitions and offer insights into the lack of consensus. Methods: Human studies reporting aseptic loosening of TAR published in peer-reviewed journals within the last decade were considered. The search strategy involved specific terms in Embase, MEDLINE ALL, and the Cochrane Library. Variations in aseptic loosening definitions were analysed. Results: Of 767 studies, 88 were included in this study. Only nine studies precisely defined aseptic loosening with significant variations. Twenty-two studies referenced the term and fifty-seven reported it as a complication but neither defined nor referenced it. Conclusions: Significant uncertainty exists regarding the universal definition of aseptic loosening of TAR, and many variations occur in terms of the assessment approach and criteria.
摘要：
背景：无菌性松动是全踝关节置换（TAR）最常见的失效模式之一。然而,无菌性松动的精确定义仍然缺乏。这项系统的审查旨在确定应用定义的变化，并提供对缺乏共识的见解。方法：考虑了过去十年在同行评审期刊上发表的报告TAR无菌性松动的人类研究。搜索策略涉及Embase中的特定术语，MEDLINE所有，还有Cochrane图书馆.分析了无菌性松动定义的变化。结果：在767项研究中，88人被纳入本研究。只有9项研究精确定义了无菌性松动，但存在明显差异。有22项研究引用了该术语，有57项研究将其报告为并发症，但既未定义也未引用。结论：关于TAR无菌性松动的普遍定义存在显著的不确定性，评估方法和标准方面存在许多差异。
