Press-fit cementless acetabular fixation with and without screws
Press-fit cementless acetabular fixation with and without screws
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带螺钉和不带螺钉的压接非骨水泥髋臼固定
DOI：
10.1007/s00264-013-2075-2
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发表时间：
2014-01-01
影响因子：
2.7
通讯作者：
Zhao, Yan-Gang
中科院分区：
文献类型：
--
作者：
Ni, Sheng-Hui;Guo, Lei;Zhao, Yan-Gang
非骨水泥型髋臼内固定在全髋关节置换术（THA）中应用广泛。近年来，文献中讨论了使用螺钉进行更好的初次和二次髋臼固定的问题。本荟萃分析的目的是比较全髋关节置换术中使用螺钉和不使用螺钉固定髋臼杯的情况。电子数据库Embase、PubMed和科克伦图书馆用于检索截至2013年5月报告的使用螺钉和不使用螺钉进行非骨水泥髋臼固定THA的随机对照试验。两名独立的评审员评估了试验的合格性和质量。所有符合我们标准的相关数据均通过RevMan 5.0进行荟萃分析。评价标准包括翻修、移位和骨质溶解。本荟萃分析共纳入5项试验的1，130例THA。所有研究均比较了使用螺钉和不使用螺钉固定髋臼杯的情况，我们的汇总数据显示，两种手术方法在翻修、移位和骨质溶解方面无统计学意义;使用螺钉和不使用螺钉的非骨水泥髋臼固定THA在翻修、移位或骨质溶解方面无显著差异。
Cementless acetabular fixation for total hip arthroplasty (THA) is widely used. The question of using screws for a better primary and secondary acetabular fixation has been discussed in the literature in recent years. The aim of this meta-analysis was to compare fixation of acetabular cups with and without screws in total hip arthroplasty.Electronic databases Embase, PubMed and Cochrane Library were used to search for randomised controlled trials reported through May 2013 of cementless acetabular fixation for THA with and without screws. Two independent reviewers assessed the trials for eligibility and quality. All related data matching our standards were abstracted for meta-analysis by RevMan 5.0. Evaluation criteria included revisions, migration and osteolysis.A total of 1,130 THAs enrolled into five trials were included in this meta-analysis. All studies compared fixation of acetabular cups with and without screws, and our pooled data showed no statistical significance between the two surgical methods in revision, migration and osteolysis.There is no significant difference between cementless acetabular fixation for THA with and without screws in revisions, migration or osteolysis.