骨质疏松全膝置换围手术期干预的现状
作者:
作者单位:

昆明理工大学附属医院,云南省第一人民医院

基金项目:

国家自然科学基金项目(面上项目,重点项目,重大项目)


Current status of perioperative intervention in total knee arthroplasty with osteoporosis
Author:
Affiliation:

1.The Affiliated Hospital of Kunming University of Science and Technology,The First People'2.'3.s Hospital of Yunnan Province

Fund Project:

The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献 [35]
  • | |
  • 引证文献
  • | |
  • 文章评论
    摘要:

    骨质疏松症(Osteoporosis,OP)与膝关节骨性关节炎(Knee osteoarthritis,KOA)是危害中老年骨骼健康的疾病,同时罹患这两种疾病的患者数量庞大,此类患者行全膝关节置换术(Total knee arthroplasty,TKA)存在手术治疗难度大,术后疼痛、假体松动、假体周围骨折、翻修风险增加等并发症,严重影响患者生活质量,因此医生与患者都需要意识到这两种疾病的严重危害,对OP合并KOA的患者进行评估,判断患者OP的严重程度,通过早期的用药,降低骨量的进一步丢失,维持良好的骨骼状态。

    Abstract:

    Osteoporosis (OP) and Knee osteoarthritis (KOA) are diseases that harm the bone health of middle-aged and elderly people. There are a large number of patients suffering from these two diseases simultaneously. Total knee arthroplasty (TKA) in such patients is difficult to treat, and complications such as postoperative pain, prosthesis loosening, periprosthetic fracture, and increased revision risk seriously affect the quality of life of patients. Therefore, both doctors and patients need to be aware of the serious harm of these two diseases. To evaluate the severity of osteoporosis in patients with knee osteoarthritis, and to reduce the further loss of bone mass and maintain good bone condition through early medication.

    参考文献
    [1] 张晨,程萌旗,宋国瑞等. 膝关节骨性关节炎与骨质疏松症相关性的研究进展 [J]. 中国当代医药, 2021, 27(01): 13-6+20.
    [2] Chang C B, Kim T K, Kang Y G, et al. Prevalence of osteoporosis in female patients with advanced knee osteoarthritis undergoing total knee arthroplasty [J]. J Korean Med Sci, 2014, 29(10): 1425-31.
    [3] Labuda A, Papaioannou A, Pritchard J, et al. Prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty [J]. Arch Phys Med Rehabil, 2008, 89(12): 2373-4.
    [4] Lingard E A, Mitchell S Y, Francis R M, et al. The prevalence of osteoporosis in patients with severe hip and knee osteoarthritis awaiting joint arthroplasty [J]. Age Ageing, 2010, 39(2): 234-9.
    [5] 裴福兴. 中国髋、膝关节置换的现状及展望 [J]. 中国骨与关节杂志, 2012, 1(01): 4-8.
    [6] 中国骨质疏松症流行病学调查及“健康骨骼”专项行动结果发布 [J]. 中华骨质疏松和骨矿盐疾病杂志, 2019, 12(04): 317-8.
    [7] Tao Y, Tang S, Huang X, et al. Prevalence and Risk Factors of Osteoporosis in Chinese Postmenopausal Women Awaiting Total Knee Arthroplasty [J]. Clin Interv Aging, 2021, 16: 379-87.
    [8] 杨天翔 张, 张博文,等. 膝关节置换术后无菌性松动发病机制的研究进展 [J]. 宁夏医学杂志, 2022, 44(05): 478-80.
    [9] 中华医学会骨科学分会关节外科学组 中, 国家老年疾病临床医学研究中心(湘雅医院),中华骨科杂志编辑部. 中国骨关节炎诊疗指南(2021年版) [J]. 中华骨科杂志, 2021, 41(18): 1291-131.
    [10] 王雨荷 刘, 李艳,史婧儒等. 中国原发性骨质疏松症危险因素的Meta分析 [J]. 中国骨质疏松杂志, 2021, 27(12): 1730-8.
    [11] 杜凯月 刘, 杨星林,等. 绝经后女性雌二醇水平与膝骨性关节炎的相关性研究 [J]. 中国骨质疏松杂志, 2017, 23(11): 1438-41+71.
    [12] 梁海波,苏伟,罗世兴. 膝关节骨性关节炎女性患者血清雌二醇水平:与年龄及病变程度的相关性 [J]. 中国组织工程研究, 2014, 18(46): 7533-7.
    [13] 陈俊泽,王维,于凯等. 绝经后女性骨密度对骨关节炎全膝关节置换术预后的预测价值分析 [J]. 中华骨与关节外科杂志, 2017, 10(03): 207-11.
    [14] Huang C C, Jiang C C, Hsieh C H, et al. Local bone quality affects the outcome of prosthetic total knee arthroplasty [J]. J Orthop Res, 2016, 34(2): 240-8.
    [15] Gilg M M, Zeller C W, Leitner L, et al. The incidence of implant fractures after knee arthroplasty [J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(10): 3272-9.
    [16] 杨人军,沈泉旭,李建鹏. 全膝关节置换术后假体周围股骨骨折的诊疗现状 [J]. 中国矫形外科杂志, 2020, 28(24): 2261-4.
    [17] 米尔阿地力·麦麦提依明 阿 亚, 等. 骨质疏松对全膝关节置换术后康复的影响 [J]. Journal of Medical Information, 2021, 34(09): 99-101+8.
    [18] Cheng X, Yuan H, Cheng J, et al. Chinese expert consensus on the diagnosis of osteoporosis by imaging and bone mineral density [J]. Quant Imaging Med Surg, 2020, 10(10): 2066-77.
    [19] Camacho P M, Petak S M, Binkley N, et al. American Association of Clinical Endocrinologists/American College of Endocrinology Clinical Practice Guidelines for the Diagnosis and Treatment of Postmenopausal Osteoporosis-2020 Update [J]. Endocr Pract, 2020, 26(Suppl 1): 1-46.
    [20] Garnero P, Sornay-Rendu E, Duboeuf F, et al. Markers of bone turnover predict postmenopausal forearm bone loss over 4 years: the OFELY study [J]. J Bone Miner Res, 1999, 14(9): 1614-21.
    [21] 中华医学会骨质疏松和骨矿盐疾病分会. 原发性骨质疏松症诊疗指南(2017) [J]. 中华骨质疏松和骨矿盐疾病杂志, 2017: 413-43.
    [22] Fu S H, Wang C Y, Yang R S, et al. Bisphosphonate Use and the Risk of Undergoing Total Knee Arthroplasty in Osteoporotic Patients with Osteoarthritis: A Nationwide Cohort Study in Taiwan [J]. J Bone Joint Surg Am, 2017, 99(11): 938-46.
    [23] Aitken D, Laslett L L, Cai G, et al. A protocol for a multicentre, randomised, double-blind, placebo-controlled trial to compare the effect of annual infusions of zoledronic acid to placebo on knee structural change and knee pain over 24 months in knee osteoarthritis patients - ZAP2 [J]. BMC Musculoskelet Disord, 2018, 19(1): 217.
    [24] Cai G, Aitken D, Laslett L L, et al. Effect of Intravenous Zoledronic Acid on Tibiofemoral Cartilage Volume Among Patients With Knee Osteoarthritis With Bone Marrow Lesions: A Randomized Clinical Trial [J]. JAMA, 2020, 323(15): 1456-66.
    [25] Boyce B F, Xing L. Functions of RANKL/RANK/OPG in bone modeling and remodeling [J]. Arch Biochem Biophys, 2008, 473(2): 139-46.
    [26] Nagoya S, Tateda K, Okazaki S, et al. Restoration of proximal periprosthetic bone loss by denosumab in cementless total hip arthroplasty [J]. Eur J Orthop Surg Traumatol, 2018, 28(8): 1601-7.
    [27] Murahashi Y, Teramoto A, Jimbo S, et al. Denosumab prevents periprosthetic bone mineral density loss in the tibial metaphysis in total knee arthroplasty [J]. Knee, 2020, 27(2): 580-6.
    [28] 汤勇 陈, 刘佳,徐应乐,等. 鲑鱼降钙素对骨质疏松症患者骨痛影响的随机对照临床研究文献meta分析 [J]. 临床药物治疗杂志, 2016, 14(05): 32-6.
    [29] Kyrkos M J, Papavasiliou K A, Kenanidis E, et al. Calcitonin delays the progress of early-stage mechanically induced osteoarthritis. In vivo, prospective study [J]. Osteoarthritis Cartilage, 2013, 21(7): 973-80.
    [30] Sun H, Zang X, Liu Y, et al. Expression of a chimeric human/salmon calcitonin gene integrated into the Saccharomyces cerevisiae genome using rDNA sequences as recombination sites [J]. Appl Microbiol Biotechnol, 2015, 99(23): 10097-106.
    [31] 韩金昌 李, 杨莹,等. .降钙素辅助治疗膝关节骨性关节炎的荟萃分析 [J]. 中国矫形外科杂志, 2020, 28(21): 1968-71.
    [32] Suzuki T, Sukezaki F, Shibuki T, et al. Teriparatide Administration Increases Periprosthetic Bone Mineral Density After Total Knee Arthroplasty: A Prospective Study [J]. J Arthroplasty, 2018, 33(01): 79-85.
    [33] Holick M F. Vitamin D deficiency [J]. N Engl J Med, 2007, 357(3): 266-81.
    [34] 马远征,王以鹏,刘强,等. 中国老年骨质疏松诊疗指南(2018) [J]. 中国老年学杂志, 2019, 39(11): 2557-75.
    [35] Cosman F, de Beur S J, LeBoff M S, et al. Clinician''s Guide to Prevention and Treatment of Osteoporosis [J]. Osteoporos Int, 2014, 25(10): 2359-81.
    相似文献
    引证文献
    网友评论
    网友评论
    分享到微博
    发 布
引用本文
文章指标
  • 点击次数:50
  • 下载次数: 0
  • 引用次数: 0
历史
  • 收稿日期:2022-06-30
  • 最后修改日期:2022-09-13
  • 录用日期:2023-02-27