| 自体骨软骨马赛克移植成形术后膝关节供区部位发病率的系统评价 |
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投稿时间：2022-01-30
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| 作者 | Author | 单位 | Address | E-Mail |
| 宋文杰 |
SONG Wen-jie |
山西医科大学第二临床学医院骨科, 山西 太原 030001
骨与软组织损伤修复山西省重点实验室, 山西 太原 030001 |
Department of Orthopedics, Second Clinical Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
Shanxi Provincial Key Laboratory of Bone and Soft Tissue Damage Repair, Taiyuan 030001, Shanxi, China |
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| 梁浩然 |
LIANG Hao-ran |
山西医科大学第二临床学医院骨科, 山西 太原 030001
骨与软组织损伤修复山西省重点实验室, 山西 太原 030001 |
Department of Orthopedics, Second Clinical Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
Shanxi Provincial Key Laboratory of Bone and Soft Tissue Damage Repair, Taiyuan 030001, Shanxi, China |
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| 牛文杰 |
NIU Wen-jie |
山西医科大学第二临床学医院骨科, 山西 太原 030001
骨与软组织损伤修复山西省重点实验室, 山西 太原 030001 |
Department of Orthopedics, Second Clinical Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
Shanxi Provincial Key Laboratory of Bone and Soft Tissue Damage Repair, Taiyuan 030001, Shanxi, China |
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| 刘洋 |
LIU Yang |
山西医科大学第二临床学医院骨科, 山西 太原 030001
骨与软组织损伤修复山西省重点实验室, 山西 太原 030001 |
Department of Orthopedics, Second Clinical Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
Shanxi Provincial Key Laboratory of Bone and Soft Tissue Damage Repair, Taiyuan 030001, Shanxi, China |
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| 任智远 |
REN Zhi-yuan |
山西医科大学第二临床学医院骨科, 山西 太原 030001
骨与软组织损伤修复山西省重点实验室, 山西 太原 030001 |
Department of Orthopedics, Second Clinical Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
Shanxi Provincial Key Laboratory of Bone and Soft Tissue Damage Repair, Taiyuan 030001, Shanxi, China |
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| 王薛丁 |
WANG Xue-ding |
山西医科大学第二临床学医院骨科, 山西 太原 030001
骨与软组织损伤修复山西省重点实验室, 山西 太原 030001 |
Department of Orthopedics, Second Clinical Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
Shanxi Provincial Key Laboratory of Bone and Soft Tissue Damage Repair, Taiyuan 030001, Shanxi, China |
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| 段王平 |
DUAN Wang-ping |
山西医科大学第二临床学医院骨科, 山西 太原 030001
骨与软组织损伤修复山西省重点实验室, 山西 太原 030001 |
Department of Orthopedics, Second Clinical Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
Shanxi Provincial Key Laboratory of Bone and Soft Tissue Damage Repair, Taiyuan 030001, Shanxi, China |
dwpsc2004121@163.com |
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| 期刊信息：《中国骨伤》2023年，第36卷，第6期，第579-585页 |
| DOI：10.12200/j.issn.1003-0034.2023.06.015 |
| 基金项目:山西省重点研发计划项目（编号：201903D421019） |
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中文摘要:
目的：对自体骨软骨马赛克移植成形术后膝关节供区部位发病率进行概述。
方法：通过计算机检索2010年1月至2021年4月20日PubMed，EMbase，万方医学网和中国知网发表的评估马赛克成形术后膝关节供区发病率的相关研究文献，根据纳入与排除标准进行文献筛选，质量评价及数据提取，对移植的骨软骨柱个数和大小与供区发病率之间的相关性进行研究。
结果：共纳入13篇文献，共661例患者。统计分析结果表明马赛克成形术后膝关节供体部位发病率为8.6%（57/661），最常见的供区发病率主诉是膝关节疼痛感4.2%（28/661）。供体数目与术后供区发病率之间不存在相关性（P=0.424，N=10）；供体直径大小与术后供区发病率之间同样不存在相关性（P=0.699，N=7）。
结论：自体骨软骨移植/马赛克成形术中的骨软骨柱采集通常会导致相当大的供区发病率8.6%（57/661），最常见的供区发病率主诉是膝关节疼痛感，且供体部位发病率与骨软骨柱的数量和大小之间并没有明显的相关性，因此临床上对供体任何部位，数量和大小骨软骨骨柱的采集，都应该意识到其潜在的供体部位发病风险。 |
| 【关键词】软骨缺损 自体骨软骨移植 马赛克成形术 膝 供区发病率 |
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| Systematic evaluation of the incidence of the knee donor area after autobone cartilage mosaic xentoplasty |
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ABSTRACT
Objective To provide an overview of the incidence of knee donor -site morbidity after autologous osteochondral mosaicplasty.
Methods A comprehensive search was conducted in PubMed, EMbase, Wanfang Medical Network, and CNKI databases from January 2010 to April 20, 2021. Relevant literature was selected based on predefined inclusion and exclusion criteria, and data were evaluated and extracted. The correlation between the number and size of transplanted osteochondral columns and donor-site morbidity was analyzed.
Results A total of 13 literatures were included, comprising a total of 661 patients. Statistical analysis revealed an incidence of knee donor-site morbidity at 8.6% (57/661), with knee pain being the most common complaint, accounting for 4.2%(28/661). There was no significant correlation between the number of osteochondral columns and postoperative donor-site incidence (P=0.424, N=10), nor between the diameter size of osteochondral columns and postoperative donor-site incidence(P=0.699, N=7).
Conclusion Autologous osteochondral mosaicplasty is associated with a considerable incidence of knee donor-site morbidity, with knee pain being the most frequent complaint. There is no apparent correlation between donor-site incidence and the number and size of transplanted osteochondral columns. Donors should be informed about the potential risks. |
| KEY WORDS Cartilage defect Autologous osteochondral transplantation Mosaicplasty Knee Donor-site morbidity incidence |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 宋文杰,梁浩然,牛文杰,刘洋,任智远,王薛丁,段王平.自体骨软骨马赛克移植成形术后膝关节供区部位发病率的系统评价[J].中国骨伤,2023,36(6):579~585 |
| 英文格式: | SONG Wen-jie,LIANG Hao-ran,NIU Wen-jie,LIU Yang,REN Zhi-yuan,WANG Xue-ding,DUAN Wang-ping.Systematic evaluation of the incidence of the knee donor area after autobone cartilage mosaic xentoplasty[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(6):579~585 |
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