What are the benefits and risks of total arthroplasty in arthrodesed knees?
Copyright policy )What are the benefits and risks of total arthroplasty in arthrodesed knees?
The conversion of a previously arthrodesed knee to a total knee arthroplasty is an alternative seldom used. However, arthroplasty would provide greater functionality to the arthrodesed joint. Since it is a technically demanding procedure, not exempt from complications, there is controversy about the role of this intervention.To answer this question we used Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the systematic reviews, reanalyzed data of primary studies, conducted a meta-analysis and generated a summary of findings table using the GRADE approach.We identified two systematic reviews including 10 studies overall, none of which corresponded to a randomized trial. We concluded the conversion of knee arthrodesis to total knee arthroplasty could increase the functionality, but it is not clear whether it increases the complications or if it has any impact on pain or patient satisfaction because the certainty of the evidence is very low.
GRADE., Medicine (General), Databases, Factual, Arthrodesis, Pain, rodillas artrodesadas, la artroplastia permitiría entregar una funcionalidad considerablemente mayor a la articulación con artrodesis. Dado que es un procedimiento técnicamente demandante y con eventual desarrollo de complicaciones, R5-920, Artroplastia total, Humans, reanalizamos los datos de los estudios primarios y preparamos una tabla de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos dos revisiones sistemáticas que en conjunto incluyeron 10 estudios primarios, Arthroplasty, Replacement, Knee, Epistemonikos, Randomized Controlled Trials as Topic, incluyendo MEDLINE, existe controversia sobre la real utilidad de este procedimiento. MÉTODOS Para responder esta pregunta utilizamos Epistemonikos, R, la mayor base de datos de revisiones sistemáticas en salud, de los cuales ninguno corresponde a un ensayo aleatorizado. Concluimos que la conversión de artrodesis de rodilla a artroplastia total de rodilla podría aumentar la funcionalidad, Cochrane, Treatment Outcome, EMBASE, Patient Satisfaction, Medicine, entre otras. Extrajimos los datos desde las revisiones identificadas, la cual es mantenida mediante búsquedas en múltiples fuentes de información
GRADE., Medicine (General), Databases, Factual, Arthrodesis, Pain, rodillas artrodesadas, la artroplastia permitiría entregar una funcionalidad considerablemente mayor a la articulación con artrodesis. Dado que es un procedimiento técnicamente demandante y con eventual desarrollo de complicaciones, R5-920, Artroplastia total, Humans, reanalizamos los datos de los estudios primarios y preparamos una tabla de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos dos revisiones sistemáticas que en conjunto incluyeron 10 estudios primarios, Arthroplasty, Replacement, Knee, Epistemonikos, Randomized Controlled Trials as Topic, incluyendo MEDLINE, existe controversia sobre la real utilidad de este procedimiento. MÉTODOS Para responder esta pregunta utilizamos Epistemonikos, R, la mayor base de datos de revisiones sistemáticas en salud, de los cuales ninguno corresponde a un ensayo aleatorizado. Concluimos que la conversión de artrodesis de rodilla a artroplastia total de rodilla podría aumentar la funcionalidad, Cochrane, Treatment Outcome, EMBASE, Patient Satisfaction, Medicine, entre otras. Extrajimos los datos desde las revisiones identificadas, la cual es mantenida mediante búsquedas en múltiples fuentes de información
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