BACKGROUND Intertrochanteric fracture of the femur occurs mostly among older people,and seriously affects daily life and quality of life.At present,physical intervention,drug treatment,routine intervention and rehabil...BACKGROUND Intertrochanteric fracture of the femur occurs mostly among older people,and seriously affects daily life and quality of life.At present,physical intervention,drug treatment,routine intervention and rehabilitation training are widely used for prevention of side effects,but it is still inconclusive which intervention has the best effect.AIM To compare the effects of new intervention measures for preventing side effects of artificial joint replacement.METHODS We searched the Chinese and English literatures for comparative studies on the prevention of side effects of new interventions for artificial joint replacement from July 2013 to June 2023 in China HowNet,PubMed,Wanfang,Weipu and other databases.Study quality was evaluated by improved Jadad scoring standard,and the effects of different interventions on preventing different complications were analyzed by meta-analysis of evidence-based medicine with Review Manager 5.0 software.RESULTS Ten articles,including 869 cases,were finally included.The preventive effects of different interventions on the side effects of artificial joint replacement were studied,and valid data were extracted.There were two articles on the preventive effects of drug intervention,four on comparison of the preventive effects of combined and single interventions,and three on the preventive effects of physical intervention,rehabilitation training and routine intervention.Meta-analysis showed that the preventive effect of rivaroxaban was significantly better than low molecular weight heparin calcium[mean difference(MD)=-0.16,95%CI:-0.28 to-0.04,P<0.05].The effect of combined intervention was significantly better than that of single intervention(MD=-0.08,95%CI:-0.16 to-0.01,P<0.001).Physical intervention was significantly better than routine intervention and rehabilitation training(MD=0.26,95%CI:0.16–0.36,P<0.001).CONCLUSION Rivaroxaban combined with rehabilitation training is preferred for preventing deep vein thrombosis after artificial joint replacement.In the prevention of pulmonary embolism,rivaroxaban drug intervention is given priority.The effect of combined intervention is better than that of single intervention.展开更多
Objective: to investigate the results of anatomical and fixed meniscus anatomical prosthesis of knee osteoarthritis. Methods: from the past hospital patients randomly selected knee osteoarthritis patients, by random d...Objective: to investigate the results of anatomical and fixed meniscus anatomical prosthesis of knee osteoarthritis. Methods: from the past hospital patients randomly selected knee osteoarthritis patients, by random distribution principle, assigned into observation group and control group respectively 66, through the artificial knee treatment, each of rotating knee prosthesis and fixed knee prosthesis through artificial implantation and fixation, using knee surgery scoring system (KSS) for the knee score and functional score on the same day and 3 months after treatment. Results: all patients were successful with no complications. The total efficiency of treatment was 93. There were significant differences between the two groups (P <0.05).The incidence of complications including postoperative patellar instability, infection, and deep vein thrombosis in the lower limbs was significantly lower than that in the control group (P <0.05). At 3 months after surgery, the knee and functional scores between the two groups showed no significant difference between the two groups (P <0.05).Objective: to explore the application of artificial knee replacement in treating knee degenerative osteoarthritis. The rotary prosthesis can more effectively improve the activity and function of knee flexion and extension and achieve satisfactory results.展开更多
文摘BACKGROUND Intertrochanteric fracture of the femur occurs mostly among older people,and seriously affects daily life and quality of life.At present,physical intervention,drug treatment,routine intervention and rehabilitation training are widely used for prevention of side effects,but it is still inconclusive which intervention has the best effect.AIM To compare the effects of new intervention measures for preventing side effects of artificial joint replacement.METHODS We searched the Chinese and English literatures for comparative studies on the prevention of side effects of new interventions for artificial joint replacement from July 2013 to June 2023 in China HowNet,PubMed,Wanfang,Weipu and other databases.Study quality was evaluated by improved Jadad scoring standard,and the effects of different interventions on preventing different complications were analyzed by meta-analysis of evidence-based medicine with Review Manager 5.0 software.RESULTS Ten articles,including 869 cases,were finally included.The preventive effects of different interventions on the side effects of artificial joint replacement were studied,and valid data were extracted.There were two articles on the preventive effects of drug intervention,four on comparison of the preventive effects of combined and single interventions,and three on the preventive effects of physical intervention,rehabilitation training and routine intervention.Meta-analysis showed that the preventive effect of rivaroxaban was significantly better than low molecular weight heparin calcium[mean difference(MD)=-0.16,95%CI:-0.28 to-0.04,P<0.05].The effect of combined intervention was significantly better than that of single intervention(MD=-0.08,95%CI:-0.16 to-0.01,P<0.001).Physical intervention was significantly better than routine intervention and rehabilitation training(MD=0.26,95%CI:0.16–0.36,P<0.001).CONCLUSION Rivaroxaban combined with rehabilitation training is preferred for preventing deep vein thrombosis after artificial joint replacement.In the prevention of pulmonary embolism,rivaroxaban drug intervention is given priority.The effect of combined intervention is better than that of single intervention.
文摘Objective: to investigate the results of anatomical and fixed meniscus anatomical prosthesis of knee osteoarthritis. Methods: from the past hospital patients randomly selected knee osteoarthritis patients, by random distribution principle, assigned into observation group and control group respectively 66, through the artificial knee treatment, each of rotating knee prosthesis and fixed knee prosthesis through artificial implantation and fixation, using knee surgery scoring system (KSS) for the knee score and functional score on the same day and 3 months after treatment. Results: all patients were successful with no complications. The total efficiency of treatment was 93. There were significant differences between the two groups (P <0.05).The incidence of complications including postoperative patellar instability, infection, and deep vein thrombosis in the lower limbs was significantly lower than that in the control group (P <0.05). At 3 months after surgery, the knee and functional scores between the two groups showed no significant difference between the two groups (P <0.05).Objective: to explore the application of artificial knee replacement in treating knee degenerative osteoarthritis. The rotary prosthesis can more effectively improve the activity and function of knee flexion and extension and achieve satisfactory results.
