冠状面胫股关节半脱位研究和系统综述
DOI:
作者:
作者单位:

北京大学中日友好临床医学院

作者简介:

通讯作者:

中图分类号:

基金项目:


Current research of Coronal tibiofemoral subluxation of the knee:A systematic review
Author:
Affiliation:

China-Japan Friendship Hospital

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:冠状位胫股关节半脱位(Coronal tibiofemoral subluxation,CTFS)是膝骨关节炎常见影像学表现,但由于缺乏标准测量方法且机制尚不明确,一直是困扰关节外科医生的难题。方法:计算机在PubMed,Embase, Cochrane Library, Web of Science等国际医学数据库中,以“tibiofemoral”,“tibial and femoral”“instability”,“subluxation”,“dislocation” ,“CTFS”等作为关键词进行文献搜索,按纳入标准进行人工筛选找到相关文献纳入此研究中。结果:最终共纳入文献18篇,其中16篇报道了影像学测量方法; 6篇为机制和危险因素研究;10篇报道了临床效果。CTFS的X线测量方法目前尚无统一的标准。目前关于CTFS的发生机制研究并不多且仍存在争议,目前较为认可的理论是由于膝关节外侧韧带结构较内侧松弛。CTFS是一种常见的KOA影像学表现,但其在KOA严重程度的判断上并无价值。而在临床症状方面,目前研究仍存在争议。结论:CTFS主流观点认为其与KOA的严重程度并不相关。但在膝关节阶梯化治疗中仍应重视此问题,以避免由于韧带稳定性不良而产生的并发症。

    Abstract:

    Objective: Coronal tibiofemoral subluxation (CTFS) is a common imaging manifestation of knee osteoarthritis. However, due to the lack of standard measurement method and unclear mechanism, it has always been a difficult problem for joint surgeons. Methods: In PubMed, Embase, Cochrane Library, Web of Science and other international medical databases, the computer presented "Tibiofemoral", "Tibial and femoral", "instability", "Subluxation", "debris" and "CTFS" were used as keywords to conduct literature search, and relevant literatures were found and included in this study by manual selection according to inclusion criteria. Results: A total of 18 articles were included, of which 16 reported imaging measurement methods. Six were mechanisms and risk factors. Ten reported clinical outcomes. There is no unified standard for X-ray measurement of CTFS. At present, there are few studies on the mechanism of CTFS, and there are still controversies. The accepted theory is that the lateral ligament structure of the knee joint is more relaxed than the medial one. CTFS is a common radiographic manifestation of KOA, but is not of value in determining the severity of KOA. When it comes to clinical symptoms, research remains controversial. Conclusions: CTFS is not considered to be associated with KOA severity. However, attention should be paid to this problem in the stepwise treatment of knee joint to avoid complications due to poor ligament stability.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-09-19
  • 最后修改日期:2022-03-11
  • 录用日期:2022-06-30
  • 在线发布日期:
  • 出版日期: