24-计算机导航对全膝关节置换术与传统技术临床疗效比较的Meta分析二院刘丙根.doc

计算机导航对全膝关节置换术与传统技术临床疗效比较的Meta分析 刘丙根 庞清江 摘要 目的 对国内外有关计算机辅助导航全膝关节置换术( CASTKA )的研究文献进行分析, 评价计算机辅助导航全膝关节置换术与传统技术的临床疗效。方法 计算机检索PubMED, Ovid，Elsevier,CNKI数字图书馆等数据库，检索从(2005/01/01～2013/12/31)年有关计算机辅助导航全膝关节置换术的文献资料。采用Cochrane协作网提供的RevMan5.0软件进行Meta分析，比较计算机辅助导航全膝关节置换术与传统技术的临床疗效，并对数据进行异质性检验。结果 共纳入符合本研究设计标准的16篇文献，导航组1322膝，传统组1299膝，导航组下肢力线内翻或外翻大于2°和3°的发生率低于传统组，导航组股骨胫骨假体冠状位对线内翻或外翻角大于3°的发生率低于传统组。导航组股骨假体矢状位对位线大于3°的发生率低于传统组。导航组胫骨后倾角大于3°的发生率低于传统组。在胫骨假体矢状位对位线，股骨，胫骨假体内外旋转角度和并发症发生率两组差异无统计学意义。结论 导航组能带来更佳的下肢力线和假体位置,但还需更多研究来提高长期临床效果 关键字：计算机辅助，导航，关节成形术, 置换, 膝，meta分析 Meta-analyses the clinica outcomes between the computer- assisted surgery TKA and conventional total knee replacement ( TKA) LIU bing gen Department of Ningbo University school of medicine Zhe jiang China ，PANG Qingjiang Department of Orthopaedics Ningbo No．2 Hospital Ning bo 315010 Zhe jiang China Corresponding author: PANG Qingjiang Email Pqjey@ Abstract [Objective] To analyze the literatures in Eng-lish and Chinese on computer- assisted surgery total knee replacement, and to evaluateit the clinical outcomes betw-een the CAS (computer- assisted surgery) and conventional total knee replacement ( TKA) [Method] The literature was published from 2005/01/01 2013/12/31 on computer- assisted surgery total knee arthroplasty by PubMED Ovid，Elsevier and CNKI database , To compare the clinica outcomes between the CAS (computer- assisted surgery) and conven-tional total knee replacement ( TKA) , The analysis was performed with software RevMan5.0 from the Cochrane collaboration. Additionally ,the analysis will check the heterogeneity of data. [Results] A total of 16 related papers ( involving 2621 knees) were included in this analysis. the computer- assist ed surgery TKA group consisted of 1322 knees，and the conventional TKA group consisted of 1299 knees. Patients who Underwent navigated TKA had a significantly lower risk of implant malalignment at mor