全髖置換術與全髖表面置換術治療骨關節炎的Meta分析_《中國循證醫學雜志》

作者：

張紫豪 ,  沈彬 , 楊靜 , 周宗科 , 康鵬德 , 裴福興

四川大學華西醫學骨科（成都 610041）;

關鍵詞：

全髖置換術全髖表面置換術骨關節炎系統評價 Meta分析隨機對照試驗

DOI：

10.7507/1672-2531.20130170

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　系統評價全髖置換術（THA）與全髖表面置換術（THRA）治療骨關節炎的療效和安全性。
方法　計算機檢索PubMed、The Cochrane Library（2012年3期）、EMbase、PLoS、美國國立衛生院臨床試驗庫、澳大利亞國家關節置換注冊網、英國國家關節注冊網、英國骨科協會網（BOA）、加拿大骨科協會網（COA）、美國骨科醫師學會網（AAOS）、德國醫療文檔和信息學會網（DIMDI）和CBM等數據庫，全面收集THA與THRA治療骨關節炎的隨機對照試驗（RCT），檢索時限均為建庫至2012年11月，并追溯納入研究的參考文獻。由兩位研究者按照納入與排除標準獨立篩選文獻、提取資料和評價質量后，采用RevMan 5.1軟件進行Meta分析。
結果　納入6個RCT（涉及10篇文獻），共518例患者，其中全髖置換術259例，全髖表面置換術259例。8篇文獻偏倚風險為中等，2篇文獻偏倚風險為低。Meta分析結果顯示，術后早期，THA與THRA相比，THA為患者帶來更大的股骨偏心距改善；但兩組患者在Merle d’Aubigné Postel評分、WOMAC評分、UCLA評分、SF-36生活質量量表、步速、步幅、步行節律、術后雙下肢不等長程度以及并發癥發生率方面，差異無統計學意義。
結論　現有證據顯示，THA手術改善患者股骨偏心距的效果較THRA更好，兩種術式在其他指標方面無顯著差異。

引用本文： 張紫豪,沈彬,楊靜,周宗科,康鵬德,裴福興. 全髖置換術與全髖表面置換術治療骨關節炎的Meta分析. 中國循證醫學雜志, 2013, 13(8): 978-984. doi: 10.7507/1672-2531.20130170 復制

1.	Berry DJ. Primary total hip arthroplasty. In: Chapman MW, ed. Chapman’s Orthopaedic Surgery. Philadelphia: Lippincott Williams & Wilkins, 2001: 2769-1790.
2.	So K, Kanatani KT, Kuroda Y, et al. Good short-term outcome of primary total hip arthroplasty with cementless bioactive glass ceramic bottom-coated implants. Acta Orthop, 2012, 83(6): 599-603.
3.	Yoo JJ, Yoon PW, Lee YK, et al. Revision Total Hip Arthroplasty Using an Alumina-On-Alumina Bearing Surface in Patients With Osteolysis. J Arthroplasty, 2013, 28(1): 132-138.
4.	Trumm BN, Callaghan JJ, Liu SS, et al. Revision with Cementless Acetabular Components: A Concise Follow-up, at a Minimum of Twenty Years, of Previous Reports. J Bone Joint Surg Am, 2012, 94(21): 2001-2004.
5.	Nourissat C, Essig J, Asencio G, et al. The Cementless Anatomic Benoist Girard (ABG) II Total Hip Arthroplasty: A Minimum 8-Year Follow-Up Study. J Arthroplasty, 2013, 28(4): 707-711.
6.	Mertl P, Combes A, Leiber-Wackenheim F, et al. Recurrence of dislocation following total hip arthroplasty revision using dual mobility cups was rare in 180 hips followed over 7 years. HSS J, 2012, 8(3): 251-256.
7.	Sariali E, Mouttet A, Mordasini P, et al. High 10-year survival rate with an anatomic cementless stem (SPS). Clin Orthop Relat Res, 2012, 470(7): 1941-1949.
8.	Massin P, Orain V, Philippot R, et al. Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. Clin Orthop Relat Res, 2012, 470(7): 1932-1940.
9.	Pollard TC, Baker RP, Eastaugh-Waring SJ, et al. Treatment of the young active patient with osteoarthritis of the hip. A five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Joint Surg Br, 2006, 88(5): 592-600.
10.	Lingard EA, Muthumayandi K, Holland JP. Comparison of patient-reported outcomes between hip resurfacing and total hip replacement. J Bone Joint Surg Br, 2009, 91(12): 1550-1554.
11.	Vail TP, Mina CA, Yergler JD, et al. Metal-on-metal hip resurfacing compares favorably with THA at 2 years followup. Clin Orthop Relat Res, 2006, 453: 123-131.
12.	Klotz MC, Breusch SJ, Hassenpflug M, et al. Results of 5 to 10-year follow-up after hip resurfacing. A systematic analysis of the literature on long-term results. Orthopade, 2012, 41(6): 442-451.
13.	Altman R, Alarcon G, Appelrouth D, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum, 1991, 34(5): 505-514.
14.	Girard J, Lavigne M, Vendittoli PA, et al. Biomechanical reconstruction of the hip a randomised study comparing total hip resurfacing and total hip arthroplasty. J Bone Joint Surg Br, 2006, 88(6): 721-726.
15.	Vendittoli PA, Lavigne M, Roy AG, et al. A prospective randomized clinical trial comparing metal‐on‐metal total hip arthroplasty and metal‐on‐metal total hip resurfacing in patients less than 65 years old. HIP Int, 2006, 16(Suppl 4): 73‐81.
16.	Girard J, Vendittoli PA, Roy AG, et al. Femoral offset restauration and clinical function after total hip arthroplasty and surface replacement of the hip: a randomized study. Rev Chir Orthop Reparatrice Appar Mot, 2008, 94(4): 376-381.
17.	Lavigne M, Masse V, Girard J, et al. Return to sport after hip resurfacing or total hip arthroplasty: a randomized study. Rev Chir Orthop Reparatrice Appar Mot, 2008, 94(4): 361-367.
18.	Rama KR, Vendittoli PA, Ganapathi M, et al. Heterotopic ossification after surface replacement arthroplasty and total hip arthroplasty: a randomized study. The Journal of Arthroplasty, 2009: 256‐262.
19.	Lavigne M, Therrien M, Nantel J, et al. The John Charnley Award: The functional outcome of hip resurfacing and large‐head THA is the same: a randomized, double‐blind study. Clinical orthopaedics and Related Research, 2010: 326‐336.
20.	Jensen C, Aagaard P, Overgaard S. Recovery in mechanical muscle strength following resurfacing vs standard total hip arthroplasty - a randomised clinical trial. Osteoarthritis Cartilage, 2011, 19(9): 1108-1116.
21.	Smolders JM, Hol A, Rijnberg WJ, et al. "Metal ion levels and functional results after either resurfacing hip arthroplasty or conventional metal-on-metal hip arthroplasty. Acta Orthop, 2011, 82(5): 559-566.
22.	Petersen MK, Andersen NT, Mogensen P, et al. Gait analysis after total hip replacement with hip resurfacing implant or Mallory‐head Exeter prosthesis: a randomised controlled trial. Int Orthop, 2011, 35(5): 667‐674.
23.	Costa ML, Achten J, Parsons NR, et al. Total hip arthroplasty versus resurfacing arthroplasty in the treatment of patients with arthritis of the hip joint: single centre, parallel group, assessor blinded, randomised controlled trial. BMJ, 2012, 344: e2147.
24.	吳泰相, 劉關鍵. 隱蔽分組(分配隱藏)和盲法的概念、實施與報告. 中國循證醫學雜志, 2007, 7(3): 203-207．.
25.	吳泰相, 劉關鍵, 李靜. 影響系統評價質量的主要因素淺析. 中國循證醫學雜志, 2005, 5(1): 51-58.
26.	Instructions for authors. Available from: http://jbjs.org/public/instructionsauthors.aspx.
27.	Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ, 2010, 340: c332.

1. Berry DJ. Primary total hip arthroplasty. In: Chapman MW, ed. Chapman’s Orthopaedic Surgery. Philadelphia: Lippincott Williams & Wilkins, 2001: 2769-1790.
2. So K, Kanatani KT, Kuroda Y, et al. Good short-term outcome of primary total hip arthroplasty with cementless bioactive glass ceramic bottom-coated implants. Acta Orthop, 2012, 83(6): 599-603.
3. Yoo JJ, Yoon PW, Lee YK, et al. Revision Total Hip Arthroplasty Using an Alumina-On-Alumina Bearing Surface in Patients With Osteolysis. J Arthroplasty, 2013, 28(1): 132-138.
4. Trumm BN, Callaghan JJ, Liu SS, et al. Revision with Cementless Acetabular Components: A Concise Follow-up, at a Minimum of Twenty Years, of Previous Reports. J Bone Joint Surg Am, 2012, 94(21): 2001-2004.
5. Nourissat C, Essig J, Asencio G, et al. The Cementless Anatomic Benoist Girard (ABG) II Total Hip Arthroplasty: A Minimum 8-Year Follow-Up Study. J Arthroplasty, 2013, 28(4): 707-711.
6. Mertl P, Combes A, Leiber-Wackenheim F, et al. Recurrence of dislocation following total hip arthroplasty revision using dual mobility cups was rare in 180 hips followed over 7 years. HSS J, 2012, 8(3): 251-256.
7. Sariali E, Mouttet A, Mordasini P, et al. High 10-year survival rate with an anatomic cementless stem (SPS). Clin Orthop Relat Res, 2012, 470(7): 1941-1949.
8. Massin P, Orain V, Philippot R, et al. Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. Clin Orthop Relat Res, 2012, 470(7): 1932-1940.
9. Pollard TC, Baker RP, Eastaugh-Waring SJ, et al. Treatment of the young active patient with osteoarthritis of the hip. A five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Joint Surg Br, 2006, 88(5): 592-600.
10. Lingard EA, Muthumayandi K, Holland JP. Comparison of patient-reported outcomes between hip resurfacing and total hip replacement. J Bone Joint Surg Br, 2009, 91(12): 1550-1554.
11. Vail TP, Mina CA, Yergler JD, et al. Metal-on-metal hip resurfacing compares favorably with THA at 2 years followup. Clin Orthop Relat Res, 2006, 453: 123-131.
12. Klotz MC, Breusch SJ, Hassenpflug M, et al. Results of 5 to 10-year follow-up after hip resurfacing. A systematic analysis of the literature on long-term results. Orthopade, 2012, 41(6): 442-451.
13. Altman R, Alarcon G, Appelrouth D, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum, 1991, 34(5): 505-514.
14. Girard J, Lavigne M, Vendittoli PA, et al. Biomechanical reconstruction of the hip a randomised study comparing total hip resurfacing and total hip arthroplasty. J Bone Joint Surg Br, 2006, 88(6): 721-726.
15. Vendittoli PA, Lavigne M, Roy AG, et al. A prospective randomized clinical trial comparing metal‐on‐metal total hip arthroplasty and metal‐on‐metal total hip resurfacing in patients less than 65 years old. HIP Int, 2006, 16(Suppl 4): 73‐81.
16. Girard J, Vendittoli PA, Roy AG, et al. Femoral offset restauration and clinical function after total hip arthroplasty and surface replacement of the hip: a randomized study. Rev Chir Orthop Reparatrice Appar Mot, 2008, 94(4): 376-381.
17. Lavigne M, Masse V, Girard J, et al. Return to sport after hip resurfacing or total hip arthroplasty: a randomized study. Rev Chir Orthop Reparatrice Appar Mot, 2008, 94(4): 361-367.
18. Rama KR, Vendittoli PA, Ganapathi M, et al. Heterotopic ossification after surface replacement arthroplasty and total hip arthroplasty: a randomized study. The Journal of Arthroplasty, 2009: 256‐262.
19. Lavigne M, Therrien M, Nantel J, et al. The John Charnley Award: The functional outcome of hip resurfacing and large‐head THA is the same: a randomized, double‐blind study. Clinical orthopaedics and Related Research, 2010: 326‐336.
20. Jensen C, Aagaard P, Overgaard S. Recovery in mechanical muscle strength following resurfacing vs standard total hip arthroplasty - a randomised clinical trial. Osteoarthritis Cartilage, 2011, 19(9): 1108-1116.
21. Smolders JM, Hol A, Rijnberg WJ, et al. "Metal ion levels and functional results after either resurfacing hip arthroplasty or conventional metal-on-metal hip arthroplasty. Acta Orthop, 2011, 82(5): 559-566.
22. Petersen MK, Andersen NT, Mogensen P, et al. Gait analysis after total hip replacement with hip resurfacing implant or Mallory‐head Exeter prosthesis: a randomised controlled trial. Int Orthop, 2011, 35(5): 667‐674.
23. Costa ML, Achten J, Parsons NR, et al. Total hip arthroplasty versus resurfacing arthroplasty in the treatment of patients with arthritis of the hip joint: single centre, parallel group, assessor blinded, randomised controlled trial. BMJ, 2012, 344: e2147.
24. 吳泰相, 劉關鍵. 隱蔽分組(分配隱藏)和盲法的概念、實施與報告. 中國循證醫學雜志, 2007, 7(3): 203-207．.
25. 吳泰相, 劉關鍵, 李靜. 影響系統評價質量的主要因素淺析. 中國循證醫學雜志, 2005, 5(1): 51-58.
26. Instructions for authors. Available from: http://jbjs.org/public/instructionsauthors.aspx.
27. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ, 2010, 340: c332.

《中國循證醫學雜志》

全髖置換術與全髖表面置換術治療骨關節炎的Meta分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

《中國循證醫學雜志》

全髖置換術與全髖表面置換術治療骨關節炎的Meta分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料