微创小切口与传统切口在THA中应用的系统评价
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摘要
目的:系统评价全髋关节置换术应用微创小切口是否优于传统切口。方法:收集所有关于微创小切口与传统切口在全髋关节置换术中应用比较的随机对照试验(RCT),按Cochrane协作网标准逐个进行质量评价和Meta分析。结果:共纳入3篇RCT,包括339例患者。3个研究显示微创小切口组在术中失血量、总失血量、手术用时方面少于传统切口,术中、术后并发症发生率无统计学意义,而对于术后镇痛药物用量、患肢功能恢复、术后假体影像学评价及远期手术效果由于各研究采用了不同的评价指标,不能进行合并分析。结论:微创小切口和传统切口都可以用于全髋关节置换术,采用微创小切口在术中失血量、总失血量、手术用时方面少于传统切口,在术中及术后并发症方面,两种切口的差异无统计学意义。因本研究的样本量较小,纳入的研究数量少,缺乏足够的证据,尚需更多设计严格的研究以增加证据的强度。
Objective:To evaluate whether using minimally invasive is better than conv- entional incision for total hip arthroplasty. Methods:All randomized controlled trials (RCTs) about comparison between minimally invasive and conventional incision for total hip arthroplasty were identified and the quality of each were evaluated by using the standard provided by Cochrane Collaboration. Some results were meta analysised. Results:Three RCTs were included. The combined results of meta-analysis showed that compared with conventional incision, minimally invasive for total hip arthroplasty can reduce the duration of operation [WMD -4.16,95%CI(-6.70,-1.61)],the amount of intra-operative blood loss[WMD -44.70,95%CI(-70.92,-18.48)]and the amount of total blood loss [WMD -85.40,95%CI(-144.00,-26.81)], but the rate of complications has no difference [OR=1.17,95%CI(0.48,2.85)]. Conclusion:Compared with conventional incision, minimally invasive for total hip arthroplasty can reduce the duration of operation, the amount of intra-operative blood loss and the amount of total blood loss,but the rate of complications has no difference. However, the trials available for this systematic review are too few and small for reliable estimates of the relative effects of minimally invasive and conventional incision for total hip arthroplasty. Further studies are needed to determine these effects.
Objective:To evaluate whether using minimally invasive is better than conv- entional incision for total hip arthroplasty. Methods:All randomized controlled trials (RCTs) about comparison between minimally invasive and conventional incision for total hip arthroplasty were identified and the quality of each were evaluated by using the standard provided by Cochrane Collaboration. Some results were meta analysised. Results:Three RCTs were included. The combined results of meta-analysis showed that compared with conventional incision, minimally invasive for total hip arthroplasty can reduce the duration of operation [WMD -4.16,95%CI(-6.70,-1.61)],the amount of intra-operative blood loss[WMD -44.70,95%CI(-70.92,-18.48)]and the amount of total blood loss [WMD -85.40,95%CI(-144.00,-26.81)], but the rate of complications has no difference [OR=1.17,95%CI(0.48,2.85)]. Conclusion:Compared with conventional incision, minimally invasive for total hip arthroplasty can reduce the duration of operation, the amount of intra-operative blood loss and the amount of total blood loss,but the rate of complications has no difference. However, the trials available for this systematic review are too few and small for reliable estimates of the relative effects of minimally invasive and conventional incision for total hip arthroplasty. Further studies are needed to determine these effects.
引文
[1] Frigg R,Appenzeller A,Christensen R,et al.The development of the distal femur less invasive stabilization system (LISS)[J]. Injury,2001,32: 24-31.
[2] Schütz M,Kaab MJ,Haas N.Stabilization of proximal tibial fractures with the LIS-System: early clinical experience in Berlin[J]. Injury, 2003, 34(Suppl 1):30-35.
[3] Baber YF, Robinson AH, Villar RN. Is diagnostic arthroscopy of the hip worthwhile a prospective review of 328 adults investigated for hip pain [J]. J Bone Joint Surg (Br),1999, 81:600-603.
[4]阎作勤,姚振均.骨科微创技术的应用现状与前景[J].中国临床医学,2004,1:4-5.
[5]裴国献,任宏远.21世纪骨科领域新技术-微创外科[J].中国创伤骨科杂志,2002,4:89-96.
[6] Hofstetter R,SatiM,Brettek C,et a1. Novel computer-assisted fluoroscopy system for intra-operative guidance:feasibility study for distal locking of femoral nails[J].J Orthop Trauma,200l,15:l22-131.
[7] Nolte LP,Slomczykowski MA,Berlemann U.A new approach to computer-aided spine surgery: fluoroscopy based surgical navigation[J]. Eur Spine J.2000,9:78-88
[8] Berger RA. Mini-incisions two for the price of one. [J] Orthopedic,2002,25: 472-498.
[9]张先龙,何耀华,王琦,等.小切口微创全髋关节置换术初步报告[J].国外医学:骨科学分册,2003,24:118-124.
[10] Inaba Y,Dorr LD,Wan Z,et al.Operative and patient care techniques for posterior mini-incision total hip arthroplasty[J].Clin Orthop Relat Res. 2005,441:104-114.
[11] de Beer J,Petruccelli D,Zalzal P,et al.Single-incision,minimally invasive total hip arthroplasty: length doesn't matter[J]. J Arthroplasty. 2004,19:945-950.
[12] Berger RA,Jacobs JJ,Meneghini RM,et al.Rapid rehabilitation and recovery with minimally invasive total hip arthroplasty[J]. Clin Orthop Rlat Res.2004,429:239-247.
[13] Goldstein WM,Branson JJ,Berland KA,et al. minimal-incision total hip arthroplasty[J]. J Bone Joint Surg Am.2003,85 Suppl 4:33-38.
[14] Nakamura S,Matsuda K,Arai N,et al.Mini-incision posterior approach for total hip arthroplasty[J].Int Orthop.2004,28:214-217.
[15] Wenz JF,Gurkan I,Jibodh SR.Mini-incision total hip arthroplasty:a comparative assessment of perioperative outcomes [J]. Orthopedics.2002,25:1031-1043.
[16] Hartzband MA.Posterolateral minimal incision for total hip replacement:techniqueand early results[J].Orthop Clin North Am. 2004,35:119-29.
[17] Mow CS,Woolson ST,Ngarmukos SG,et al.Comparision of scars from total hip replacements done with a standard or a mini-incision[J].Clin Orthop Relat Res. 2005,441:80-85.
[18] Mardones R,Pagnano MW,Nemanich JP,et al.Muscle damage after total hip arthroplasty done with the two-incision and mini-posterior techniques[J].Clin Orthop Relat Res. 2005,441:63-67.
[19] Bal BS,Haltom D,Aleto T,et al. Early complications of primary total hip replacement performed with a two-incision minimally invasive technique[J]. J Bone Joint Surg Am. 2005,87:2432-2438.
[20] Chimento GF,Pavone V,Sharrock N,et al. Minimally invasive total hip arthroplasty: a prospective randomized study[J]. J Arthroplasty.2005,20:139-144.
[21] Ogonda L,Wilson R,Archbold P,et al.A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes.A prospective,rando- mized,controlled trial[J]. J Bone Joint Surg Am. 2005,87:701-710.
[22] Dorr LD,Maheshwari AV,Long WT,et al.Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty[J].J Bone Joint Surg Am. 2007,89:1153-1160.
[23] Berry DJ,Berger RA,Callaghan JJ,et al. Minimally invasive total hip arthroplasty. Development,early results,and a critical analysis[J].J Bone Joint Surg Am.2003, 85:2235-2246.
[24] Sculco TP,Jordan LC,Walter WL.Minimally invasive total hip arthroplasty:the hospital for special surgery experience[J].Instr Course Lect.Orthop Clin North Am.2004,35:137-142.
[25] DiGioia AM 3rd,Plakseychuk AY, Levison TJ,et al. Mini-incision technique for total hip arthroplasty with navigation[J]. J Arthroplasty. 2003,18:123-128.
[26] Woolson ST,Mow CS,Syquia JF,et al. Comparison of primary total hip replacements performed with a standard incision or a mini- incision[J]. J Bone Joint Surg(Am), 2004,862A (7):1353-1358.
[27] Bennett D,Ogonda L,Elliott D,et al.Comparison of gait kinematics in patients receiving minimally invasive and traditional hip replacement surgery:a prospective blinded study[J].Gait Posture.2006,23:374-382.
[28] Lawlor M,Humphreys P,Morrow E,et al.Comparison of early postoperative functional levels following total hip replacement using minimally invasive versus standardincisions:A prospective,randomized,blinded trial[J].Clin Rehabil. 2005,19:465-474.
[29] Tannast M,Langlotz U,Siebenrock KA,et al.Anatomic referencing of cup orientation in total hip arthroplasty[J].Clin Orthop Rlat Res.2005,436:144-150.
[30] Ahlberg G,Heikkinen T,Iselius L,et al.Does training in a virtual reality simulator improve surgical performance [J]. Surg Endosc,2002,16:126-129.
[31]曹雷,张坚,戴醒明,等.微创人工髋关节置换术临床研究[J].中国实用医药,2008,3(4):106-107.
[32] Chung WK,Liu D,Foo LS. Minimal-incision total hip replacement surgical technique and early results[J].J Orthop Surg (Hong Kong).2004,12:19-24.
[33] O,Brien DA,Rorabeck CH.The mini-incision direct lateral approach in primary total hip arthroplasty[J].Clin Orthop Relat Res.2005,441:99-103.
[34] Suzuki K,Kawachi S,Sackai H,et al. Mini-incision total hip arthroplasty:a quantitative assessment of laboratory data and clinical outcomes[J].J Orthop Sci.2004,9:571-575.
[35]李子荣,史振才,郭万首,等.后外侧入路小切口人工全髋关节置换术[J].中华骨科杂志,2005,25(5):263-267.
[36] Howell JR,Garbuz DS,Duncan CP. Minimally invasive hip replacement: rationale, applied anatomy,and instrumentation[J].Orthop Clin North Am,2004,35:107-118.
[37] Kennon RE,Keggi JM,Wetmore RS,et al.Total hip arthroplasty through a minimally invasive anterior surgical approach[J].J Bone Joint Surg (Am),2003,85 Suppl 4:39-48.
[1]池永龙.关于微创骨科技术若干问题的探讨[J].中华外科杂志,2005,43(24): 1561-1563.
[2]董志强.微创外科与外科微创化[J].中华外科志,2002,40(1):19.
[3]陈浩,杜贵忠,李建军.微创经皮钢板与带锁髓内钉治疗胫骨骨折的比较研究[J].广州医药,2005,36(2):69-71.
[4]吴树文.骨折外固定器治疗的临床应用[J].河北医学,2008,14(1):109-112.
[5] Schütz M,Müller M,Krettek C,et al.Minimally invasive fracture stabilization of distal femoral fractures with the LISS: a prospective multicenter study. Results of a clinical study with special emphasis on difficult cases[J]. Injury,2001,32:48-54.
[6]袁天祥,马宝通,赵宝成,等.股骨远端、胫骨近端骨折LISS手术相关因素分析[J].中华骨科杂志,2006,26(4):243-246.
[7]同志超,李忠,张堃,等.AO微创内固定系统治疗股骨远端骨折[J].临床骨科杂志,2007,10(3):266-268.
[8] Cole PA,Zlowodzki M,Kregor PJ.Compartment p ressures after submscular fixation of proximal tibia fractures[J]. Injury, 2003,34 (Supp l1):A43 - A46.
[9] Kolb W,Guhlmann H,Friedel R,et al.Fixation of periprosthetic femur fractures with the less invasive stabilization system(LISS) --a new minimally invasive treatment with locked fixed angle screws[J]. Zentralbl Chir, 2003,128(1):53-59.
[10]苏学涛,王景贵,刘天盛,等.经皮激光颈椎间盘减压术[J].中国矫形外科杂志,2008,16(23):1830-1831.
[11]关家文,孙海涛,刘录明,等.149例经皮椎间盘激光减压术的临床分析[J].中国矫形外科杂志,2006,14(11):872-874.
[12]高永辉,江源,王坤,等.微创经皮椎体成形术治疗骨质疏松性骨折[J].中医正骨,2008,20(2):43-45.
[13]李雪松,聂浩雄,张丽梅,等.经皮椎体成形术和经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折[J].中国介入影像与治疗学,2009,6(1):10-13.
[14] vande,Kraats EB,van Walsum T,Verlaan,JJ.Three-dimensional rotational X-ray navigation for needle guidance in percutaneous vertebroplasty:an accuracy study [J] .Spine,2006,31,31:1359-1364 .
[15] Hulme PA,Krebs J,Ferguson SJ,et al.Vertebroplasty and kyphoplasty:a systematic review of 69 clinical studies[J] .Spine,2006,31,31(17):1983 - 2001 .
[16]杨惠林,赵刘军,陆俭,等.单球囊双侧扩张椎体后凸成形术的探讨[J]中华骨科杂志,2004,(11):657-659.
[17]李春,陈海,陆禹严,等.经皮前路空心螺钉内固定治疗Ⅱ型齿状突骨折[J].临床骨科杂志,2008,11(6):500-501.
[18] Song KJ,Lee KB,Kim KN. Treatment of odontoid fractures with single anterior screw fixation[J]. J Clin Neurosi, 2007,14 ( 9) :824 - 830.
[19] Chi YL,Wang XY,Xu HZ,et al. Management of odontoid fractures with percutaneous anterior odontoid screw fixation[J]. Eur Spine J,2007,16 (8):1157-1164.
[20] Apfelbaum RI,Lonser RR,Veres R,et al. Direct anterior screw fixation for recent and remote odontoid fractures[J] .J Neurosurg,2000,(93):227-236.
[21] Lowery GL,Kulkarni SS. Posterior percutaneous spine instrumentation[J] .Eur Spine J, 2000,9(1):126-130 .
[22]吕国华,王冰,马泽民,等.胸腔镜与开胸脊柱前路手术的比较研究[J].中华骨科杂志,2004,24(2):104-107.
[23]任弘,郝福合,赵成玉,等.后路腰椎间盘镜临床应用分析[J].河北医科大学学报,2008,29(05):747-748.
[24]王欢,王海义,安春厚.经显微内窥镜手术治疗腰椎间盘突出症[J].中华骨科杂志,2002,22(1):17-19.
[25] Perez Cruet MJ,Foley KT,Isaacs RE,et al.Microendoscopic Lumbar discectomy technical note [J] .Neurosurg ery ,2002,51(5):129-136.
[26] Brayda ,Bruno M,Cinnella P. Posterior endoscopic discectomy(and other procedures) [J ] . Eur Spine J,2000,9( Suppl 1):242-29.
[27] Makino A,Aponte TL,Muscolo DL,et al. Arthroscopic-assisted surgical technique for treating patella fracture[J]. Arthroscopy,2002,18 (6):671-675.
[28]刘雄文,黎庆初.关节镜技术治疗膝关节内损伤的应用进展[J].微创医学,2008,3(2):137-139.
[29] Turgut A, Gunal I, Acar S,et al. Arthroscopic -assisted percutaneous stabilization of patellar fractures[J] .Clinical Orthopaedics, 2001,389, (389):57-61.
[30]张羽飞,王寿宇,王立德,等.关节镜术在治疗关节外疾病中的应用[J].中国内镜杂志,2008,14(2):191-192.
[31]王红.微创人工髋关节置换的临床应用[J].中国组织工程研究与康复,2008,12(52):10351-10354.
[32] Dorr LD,Maheshwari AV,Long WT,et al.Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty [J].J Bone Joint Surg Am,2007,89:1153-1160.
[33]喻忠,王黎明.骨科手术导航系统研究现状[J].国外医学骨科学分册,2005,26(3):140-144.
[34] Ebmeier K,Giest K,Kalff R.Intra-operative computerized tomography for improved accuracy of spinal navigation in pedicle screw placement of the thoracic spine[J]. Acta Neurochir Suppl, 2003,85:105-113.
[35]杨永宏,郑杰.计算机辅助导航系统及其骨科应用[J].中华创伤骨科杂志,2005,7(7):614-616.
[36] Amiot LP,Poulin F.Computed tomography-based navigation for hip,knee,and spine surgery[J].Clin Orthop Relat Res,2004,(421):77-86.
[37] Jenny JY,Boeri C.Computer-assisted implantation of a total knee arthroplasty:a case-controlled study in comparison with classical instrumentation [J].Rev Chir Orthop Reparatrice Appar Mot,2001,87 (7):645-652.
[38] Bathis H,Perlick L,Tingart M,et al.Alignment in total knee arthroplasty:A comparison of computer-assisted surgery with the conventional technique[J]. J Bone Joint Surg(Br),2004,86(5):682-687.
[39] Mayman D, Vasarhelyi EM, Long W,et al .Computer-assisted guide wire insertion for hip fracture fixation[J]. J Orthop Trauma,2005,19 (9): 610-615.
[40] Hamelinck HK,Haagmans M,Snoeren MM,et al.Safety of computer assisted surgery for cannulated hip screws[J]. Clin Orthop Relat Res,2007,455:2 41-245.
[41] Stockle U,Konig B,Schaffler A,et al.Clinical experience with the Siremobil Iso-C(3D) imaging system in pelvic surgery[J]. Unfallchirurg,2006,109(1):30-40.
[2] Schütz M,Kaab MJ,Haas N.Stabilization of proximal tibial fractures with the LIS-System: early clinical experience in Berlin[J]. Injury, 2003, 34(Suppl 1):30-35.
[3] Baber YF, Robinson AH, Villar RN. Is diagnostic arthroscopy of the hip worthwhile a prospective review of 328 adults investigated for hip pain [J]. J Bone Joint Surg (Br),1999, 81:600-603.
[4]阎作勤,姚振均.骨科微创技术的应用现状与前景[J].中国临床医学,2004,1:4-5.
[5]裴国献,任宏远.21世纪骨科领域新技术-微创外科[J].中国创伤骨科杂志,2002,4:89-96.
[6] Hofstetter R,SatiM,Brettek C,et a1. Novel computer-assisted fluoroscopy system for intra-operative guidance:feasibility study for distal locking of femoral nails[J].J Orthop Trauma,200l,15:l22-131.
[7] Nolte LP,Slomczykowski MA,Berlemann U.A new approach to computer-aided spine surgery: fluoroscopy based surgical navigation[J]. Eur Spine J.2000,9:78-88
[8] Berger RA. Mini-incisions two for the price of one. [J] Orthopedic,2002,25: 472-498.
[9]张先龙,何耀华,王琦,等.小切口微创全髋关节置换术初步报告[J].国外医学:骨科学分册,2003,24:118-124.
[10] Inaba Y,Dorr LD,Wan Z,et al.Operative and patient care techniques for posterior mini-incision total hip arthroplasty[J].Clin Orthop Relat Res. 2005,441:104-114.
[11] de Beer J,Petruccelli D,Zalzal P,et al.Single-incision,minimally invasive total hip arthroplasty: length doesn't matter[J]. J Arthroplasty. 2004,19:945-950.
[12] Berger RA,Jacobs JJ,Meneghini RM,et al.Rapid rehabilitation and recovery with minimally invasive total hip arthroplasty[J]. Clin Orthop Rlat Res.2004,429:239-247.
[13] Goldstein WM,Branson JJ,Berland KA,et al. minimal-incision total hip arthroplasty[J]. J Bone Joint Surg Am.2003,85 Suppl 4:33-38.
[14] Nakamura S,Matsuda K,Arai N,et al.Mini-incision posterior approach for total hip arthroplasty[J].Int Orthop.2004,28:214-217.
[15] Wenz JF,Gurkan I,Jibodh SR.Mini-incision total hip arthroplasty:a comparative assessment of perioperative outcomes [J]. Orthopedics.2002,25:1031-1043.
[16] Hartzband MA.Posterolateral minimal incision for total hip replacement:techniqueand early results[J].Orthop Clin North Am. 2004,35:119-29.
[17] Mow CS,Woolson ST,Ngarmukos SG,et al.Comparision of scars from total hip replacements done with a standard or a mini-incision[J].Clin Orthop Relat Res. 2005,441:80-85.
[18] Mardones R,Pagnano MW,Nemanich JP,et al.Muscle damage after total hip arthroplasty done with the two-incision and mini-posterior techniques[J].Clin Orthop Relat Res. 2005,441:63-67.
[19] Bal BS,Haltom D,Aleto T,et al. Early complications of primary total hip replacement performed with a two-incision minimally invasive technique[J]. J Bone Joint Surg Am. 2005,87:2432-2438.
[20] Chimento GF,Pavone V,Sharrock N,et al. Minimally invasive total hip arthroplasty: a prospective randomized study[J]. J Arthroplasty.2005,20:139-144.
[21] Ogonda L,Wilson R,Archbold P,et al.A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes.A prospective,rando- mized,controlled trial[J]. J Bone Joint Surg Am. 2005,87:701-710.
[22] Dorr LD,Maheshwari AV,Long WT,et al.Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty[J].J Bone Joint Surg Am. 2007,89:1153-1160.
[23] Berry DJ,Berger RA,Callaghan JJ,et al. Minimally invasive total hip arthroplasty. Development,early results,and a critical analysis[J].J Bone Joint Surg Am.2003, 85:2235-2246.
[24] Sculco TP,Jordan LC,Walter WL.Minimally invasive total hip arthroplasty:the hospital for special surgery experience[J].Instr Course Lect.Orthop Clin North Am.2004,35:137-142.
[25] DiGioia AM 3rd,Plakseychuk AY, Levison TJ,et al. Mini-incision technique for total hip arthroplasty with navigation[J]. J Arthroplasty. 2003,18:123-128.
[26] Woolson ST,Mow CS,Syquia JF,et al. Comparison of primary total hip replacements performed with a standard incision or a mini- incision[J]. J Bone Joint Surg(Am), 2004,862A (7):1353-1358.
[27] Bennett D,Ogonda L,Elliott D,et al.Comparison of gait kinematics in patients receiving minimally invasive and traditional hip replacement surgery:a prospective blinded study[J].Gait Posture.2006,23:374-382.
[28] Lawlor M,Humphreys P,Morrow E,et al.Comparison of early postoperative functional levels following total hip replacement using minimally invasive versus standardincisions:A prospective,randomized,blinded trial[J].Clin Rehabil. 2005,19:465-474.
[29] Tannast M,Langlotz U,Siebenrock KA,et al.Anatomic referencing of cup orientation in total hip arthroplasty[J].Clin Orthop Rlat Res.2005,436:144-150.
[30] Ahlberg G,Heikkinen T,Iselius L,et al.Does training in a virtual reality simulator improve surgical performance [J]. Surg Endosc,2002,16:126-129.
[31]曹雷,张坚,戴醒明,等.微创人工髋关节置换术临床研究[J].中国实用医药,2008,3(4):106-107.
[32] Chung WK,Liu D,Foo LS. Minimal-incision total hip replacement surgical technique and early results[J].J Orthop Surg (Hong Kong).2004,12:19-24.
[33] O,Brien DA,Rorabeck CH.The mini-incision direct lateral approach in primary total hip arthroplasty[J].Clin Orthop Relat Res.2005,441:99-103.
[34] Suzuki K,Kawachi S,Sackai H,et al. Mini-incision total hip arthroplasty:a quantitative assessment of laboratory data and clinical outcomes[J].J Orthop Sci.2004,9:571-575.
[35]李子荣,史振才,郭万首,等.后外侧入路小切口人工全髋关节置换术[J].中华骨科杂志,2005,25(5):263-267.
[36] Howell JR,Garbuz DS,Duncan CP. Minimally invasive hip replacement: rationale, applied anatomy,and instrumentation[J].Orthop Clin North Am,2004,35:107-118.
[37] Kennon RE,Keggi JM,Wetmore RS,et al.Total hip arthroplasty through a minimally invasive anterior surgical approach[J].J Bone Joint Surg (Am),2003,85 Suppl 4:39-48.
[1]池永龙.关于微创骨科技术若干问题的探讨[J].中华外科杂志,2005,43(24): 1561-1563.
[2]董志强.微创外科与外科微创化[J].中华外科志,2002,40(1):19.
[3]陈浩,杜贵忠,李建军.微创经皮钢板与带锁髓内钉治疗胫骨骨折的比较研究[J].广州医药,2005,36(2):69-71.
[4]吴树文.骨折外固定器治疗的临床应用[J].河北医学,2008,14(1):109-112.
[5] Schütz M,Müller M,Krettek C,et al.Minimally invasive fracture stabilization of distal femoral fractures with the LISS: a prospective multicenter study. Results of a clinical study with special emphasis on difficult cases[J]. Injury,2001,32:48-54.
[6]袁天祥,马宝通,赵宝成,等.股骨远端、胫骨近端骨折LISS手术相关因素分析[J].中华骨科杂志,2006,26(4):243-246.
[7]同志超,李忠,张堃,等.AO微创内固定系统治疗股骨远端骨折[J].临床骨科杂志,2007,10(3):266-268.
[8] Cole PA,Zlowodzki M,Kregor PJ.Compartment p ressures after submscular fixation of proximal tibia fractures[J]. Injury, 2003,34 (Supp l1):A43 - A46.
[9] Kolb W,Guhlmann H,Friedel R,et al.Fixation of periprosthetic femur fractures with the less invasive stabilization system(LISS) --a new minimally invasive treatment with locked fixed angle screws[J]. Zentralbl Chir, 2003,128(1):53-59.
[10]苏学涛,王景贵,刘天盛,等.经皮激光颈椎间盘减压术[J].中国矫形外科杂志,2008,16(23):1830-1831.
[11]关家文,孙海涛,刘录明,等.149例经皮椎间盘激光减压术的临床分析[J].中国矫形外科杂志,2006,14(11):872-874.
[12]高永辉,江源,王坤,等.微创经皮椎体成形术治疗骨质疏松性骨折[J].中医正骨,2008,20(2):43-45.
[13]李雪松,聂浩雄,张丽梅,等.经皮椎体成形术和经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折[J].中国介入影像与治疗学,2009,6(1):10-13.
[14] vande,Kraats EB,van Walsum T,Verlaan,JJ.Three-dimensional rotational X-ray navigation for needle guidance in percutaneous vertebroplasty:an accuracy study [J] .Spine,2006,31,31:1359-1364 .
[15] Hulme PA,Krebs J,Ferguson SJ,et al.Vertebroplasty and kyphoplasty:a systematic review of 69 clinical studies[J] .Spine,2006,31,31(17):1983 - 2001 .
[16]杨惠林,赵刘军,陆俭,等.单球囊双侧扩张椎体后凸成形术的探讨[J]中华骨科杂志,2004,(11):657-659.
[17]李春,陈海,陆禹严,等.经皮前路空心螺钉内固定治疗Ⅱ型齿状突骨折[J].临床骨科杂志,2008,11(6):500-501.
[18] Song KJ,Lee KB,Kim KN. Treatment of odontoid fractures with single anterior screw fixation[J]. J Clin Neurosi, 2007,14 ( 9) :824 - 830.
[19] Chi YL,Wang XY,Xu HZ,et al. Management of odontoid fractures with percutaneous anterior odontoid screw fixation[J]. Eur Spine J,2007,16 (8):1157-1164.
[20] Apfelbaum RI,Lonser RR,Veres R,et al. Direct anterior screw fixation for recent and remote odontoid fractures[J] .J Neurosurg,2000,(93):227-236.
[21] Lowery GL,Kulkarni SS. Posterior percutaneous spine instrumentation[J] .Eur Spine J, 2000,9(1):126-130 .
[22]吕国华,王冰,马泽民,等.胸腔镜与开胸脊柱前路手术的比较研究[J].中华骨科杂志,2004,24(2):104-107.
[23]任弘,郝福合,赵成玉,等.后路腰椎间盘镜临床应用分析[J].河北医科大学学报,2008,29(05):747-748.
[24]王欢,王海义,安春厚.经显微内窥镜手术治疗腰椎间盘突出症[J].中华骨科杂志,2002,22(1):17-19.
[25] Perez Cruet MJ,Foley KT,Isaacs RE,et al.Microendoscopic Lumbar discectomy technical note [J] .Neurosurg ery ,2002,51(5):129-136.
[26] Brayda ,Bruno M,Cinnella P. Posterior endoscopic discectomy(and other procedures) [J ] . Eur Spine J,2000,9( Suppl 1):242-29.
[27] Makino A,Aponte TL,Muscolo DL,et al. Arthroscopic-assisted surgical technique for treating patella fracture[J]. Arthroscopy,2002,18 (6):671-675.
[28]刘雄文,黎庆初.关节镜技术治疗膝关节内损伤的应用进展[J].微创医学,2008,3(2):137-139.
[29] Turgut A, Gunal I, Acar S,et al. Arthroscopic -assisted percutaneous stabilization of patellar fractures[J] .Clinical Orthopaedics, 2001,389, (389):57-61.
[30]张羽飞,王寿宇,王立德,等.关节镜术在治疗关节外疾病中的应用[J].中国内镜杂志,2008,14(2):191-192.
[31]王红.微创人工髋关节置换的临床应用[J].中国组织工程研究与康复,2008,12(52):10351-10354.
[32] Dorr LD,Maheshwari AV,Long WT,et al.Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty [J].J Bone Joint Surg Am,2007,89:1153-1160.
[33]喻忠,王黎明.骨科手术导航系统研究现状[J].国外医学骨科学分册,2005,26(3):140-144.
[34] Ebmeier K,Giest K,Kalff R.Intra-operative computerized tomography for improved accuracy of spinal navigation in pedicle screw placement of the thoracic spine[J]. Acta Neurochir Suppl, 2003,85:105-113.
[35]杨永宏,郑杰.计算机辅助导航系统及其骨科应用[J].中华创伤骨科杂志,2005,7(7):614-616.
[36] Amiot LP,Poulin F.Computed tomography-based navigation for hip,knee,and spine surgery[J].Clin Orthop Relat Res,2004,(421):77-86.
[37] Jenny JY,Boeri C.Computer-assisted implantation of a total knee arthroplasty:a case-controlled study in comparison with classical instrumentation [J].Rev Chir Orthop Reparatrice Appar Mot,2001,87 (7):645-652.
[38] Bathis H,Perlick L,Tingart M,et al.Alignment in total knee arthroplasty:A comparison of computer-assisted surgery with the conventional technique[J]. J Bone Joint Surg(Br),2004,86(5):682-687.
[39] Mayman D, Vasarhelyi EM, Long W,et al .Computer-assisted guide wire insertion for hip fracture fixation[J]. J Orthop Trauma,2005,19 (9): 610-615.
[40] Hamelinck HK,Haagmans M,Snoeren MM,et al.Safety of computer assisted surgery for cannulated hip screws[J]. Clin Orthop Relat Res,2007,455:2 41-245.
[41] Stockle U,Konig B,Schaffler A,et al.Clinical experience with the Siremobil Iso-C(3D) imaging system in pelvic surgery[J]. Unfallchirurg,2006,109(1):30-40.