■本系统评价的目的是比较机械对准(MA)和运动学对准(KA)全膝关节置换术(TKA)后患者满意度患者报告的结果(PROMs)水平。
■在PubMed上遵循PRISMA指南进行了系统的文献检索,Embase,Medline和Scopus确定这篇评论的潜在相关文章,从2013年3月初到2023年10月底出版。只有在KATKA后报告满意的文章,包括MATKA或两者,他们使用有效和可靠的工具来评估和报告TKA后的满意度。Title,作者,出版年份,研究设计,证据水平,随访期,患者人口统计数据,样本量,满意度评分类型,术后满意度评分,术后对准,统计意义,以及其他变量,被提取用于分析。使用医疗保健研究和质量机构(AHRQ)设计特定量表评估随机对照试验(RCTs)。非随机对照试验采用JoannaBriggs研究所(JBI)的关键评估工具进行评估。纽卡斯尔-渥太华量表(NOS)也用于评估队列研究,而病例系列使用NIH质量评估工具进行病例系列研究评估。
■最初的搜索确定了316项研究,其中178人被考虑用于筛查。11项研究完全符合纳入标准,包括一个RCT,五项非随机对照试验/准实验,三个案例系列,和两项队列研究。参加MATKA的患者总数为1740。相反,497例患者被纳入KATKA。五项研究使用视觉模拟量表(VAS)评估术后患者满意度,4人使用膝关节协会评分(KSS)2011版和两种基于李克特的评分类型。总的来说,在MA组中,KSS2011的最高平均满意度得分为31.5±6.6,在4项研究中,KA组为29.8±80。所有患者对MA和KATKA的术后满意度均较高,但两者之间无统计学差异(p>0.05)。
■两种机械对准的全膝关节置换术,以及运动学上对齐的全膝关节置换术导致术后患者满意度高,它们之间没有统计学上的显著差异。
■三级,系统回顾。
UNASSIGNED: The purpose of this systematic review was to compare patient satisfaction patient-reported outcomes (PROMs) levels after mechanically aligned (MA) and kinematically aligned (KA) total knee arthroplasty (TKA).
UNASSIGNED: A systematic literature search following PRISMA guidelines was conducted on PubMed, Embase, Medline and Scopus to identify potentially relevant articles for this review, published from the beginning of March 2013 until the end of October 2023. Only articles reporting satisfaction after KA TKA, MA TKA or both were included, which use valid and reliable tools for the evaluation and reporting of satisfaction after TKA. Title, authors, year of publication, study design, level of evidence, follow-up period, patients\' demographic data, sample size, type of satisfaction score, postoperative satisfaction score, postoperative
alignment, statistical significance, as well as other variables, were extracted for analysis. An Agency for Healthcare Research and Quality\'s (AHRQ) design-specific scale was used for assessing randomized control trials (RCTs). The nonrandomized control trials were evaluated by using the Joanna Briggs Institute\'s (JBI) Critical Appraisal Tool. The Newcastle-Ottawa Scale (NOS) was also used to assess cohort studies, while case series were evaluated using the NIH Quality Assessment Tool for Case Series Studies.
UNASSIGNED: The initial search identified 316 studies, of which 178 were considered for screening. Eleven studies completely fulfilled the inclusion criteria, including one RCT, five nonrandomized control trials/quasi-experiments, three case series, and two cohort studies. The total number of patients recruited for MA TKA was 1740. Conversely, 497 patients were enrolled for KA TKA. Five studies used the visual analogue scale (VAS) for assessing postoperative patient satisfaction, four used the Knee Society Score (KSS) 2011 version and two Likert-based types of scores. Overall, the highest mean satisfaction score of KSS 2011 was 31.5 ± 6.6 in the MA group, and 29.8 ± 80 in the KA group in four studies. All of them showed high postoperative patient satisfaction rates for both MA and KA TKA, but with no statistically significant difference between them (p > 0.05).
UNASSIGNED: Both mechanically aligned total knee arthroplasty, as well as kinematically aligned total knee arthroplasty led to high rates of postoperative patient satisfaction, with no statistically significant differences between them.
UNASSIGNED: Level III, systematic review.