■膝关节骨性关节炎患者接受单室膝关节置换术(UKA)和全膝关节置换术(TKA)的长期结果仍无定论。
■这项研究旨在评估五年内的长期结果,包括膝关节疼痛评分(KSPS),膝盖社会得分(KSS),膝关节社会功能评分(KSFS),运动范围(ROM),UKA与UKA的生存率TKA在膝骨关节炎患者中的应用.
■使用随机对照和队列试验数据的系统评价,世界数据库。
■研究人员搜索了Medline,Embase,Cochrane控制的试验登记册,和ClinicalTrials.gov从1990年1月到2024年3月。
■研究人员选择了基于患有膝骨关节炎的成年参与者的研究。符合条件的研究比较了UKA和TKA关于临床或手术结果的报告,包括KSPS,KSS,KSFS,ROM和存活率,超过5年。研究人员排除了不到五年的研究,或英文文本不可用。
研究人员将29项符合条件的研究分为三组:5项随机对照试验,11登记册和数据库研究,和13项队列研究。分析显示,TKA和UKA在疼痛方面的表现均不优于其他(SMD(95%CI):-0.06[-0.41,0.28],I2=90%)和KSS评分(SMD(95%CI):-0.07[-0.23,0.008],I2=81%),为期五年。然而,KSFS(SMD(95%CI):-0.30[-0.43,-0.17],I2=74%)和ROM(SMD(95%CI):-0.78[-1.11,-0.46],I2=92%)倾向于支持UKA,在5年或5年以上的随访期,生存率更倾向于TKA。
■UKA在KSFS和ROM中显示出更好结果的趋势,在五年及以后的随访期间,TKA的生存率更高。
■https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=517835,PROSPERO(CRD42024517835)。
UNASSIGNED: Long-term outcomes for knee osteoarthritis patients undergoing unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) remain inconclusive.
UNASSIGNED: This study aims to evaluate the long-term outcomes over five years, including Knee Society Pain Scores (KSPS), Knee Society Scores (KSS), Knee Society Function Scores (KSFS), range of motion (ROM), and survival rates-of UKA vs. TKA in knee osteoarthritis patients.
UNASSIGNED: Systematic review using data from randomized controlled and cohort trials, and world databases.
UNASSIGNED: Researchers searched Medline, Embase, Cochrane Controlled Register of Trials, and ClinicalTrials.gov from January 1990 to March 2024.
UNASSIGNED: The researchers selected studies based on adult participants with knee osteoarthritis. Eligible studies compare UKA and TKA reports on clinical or surgical outcomes, including KSPS, KSS, KSFS, ROM and survival rates, over 5 years. The researchers excluded the studies fewer than five years, or if English text was unavailable.
UNASSIGNED: Researchers categorized twenty-nine eligible studies into three groups: five randomized controlled trials, 11 registries and database studies, and 13 cohort studies. The analysis revealed that neither TKA nor UKA definitively outperformed the other in terms of pain (SMD (95% CI): -0.06 [-0.41, 0.28], I 2 = 90%) and KSS scores (SMD (95% CI): -0.07 [-0.23, 0.008], I 2 = 81%) over a period of five years. However, KSFS (SMD (95% CI): -0.30 [-0.43, -0.17], I 2 = 74%) and ROM (SMD (95% CI): -0.78 [-1.11, -0.46], I 2 = 92%) tended to favor UKA, and survival rate favor TKA at 5 or over 5-year follow-up periods.
UNASSIGNED: UKA shows a trend towards better outcomes in KSFS and ROM, alongside a more favorable survival rate in TKA at the five-year and beyond follow-up periods.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=517835, PROSPERO (CRD42024517835).