文献类型：期刊文献

英文题名：The safety and efficacy of unicompartmental knee arthroplasty in outpatient surgical centers: A systematic review and meta-analysis

作者：Fan, Hua[1,2,3];Zhang, Zhuang-Zhuang[1,2];Zhang, Fu-Kang[1,2];Yang, Xin[1,2];Zhang, An-Ren[1,2];Yang, Yong-Ze[1,2];Cheng, Qing-Hao[2];Guo, Hong-Zhang[2,3]

第一作者：Fan, Hua

通信作者：Fan, H[1];Guo, HZ[1]

机构：[1]Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou, Peoples R China;[2]Gansu Prov Hosp, Lanzhou, Peoples R China;[3]Gansu Prov Hosp, 204 Donggang West Rd,Chengguan Dist, Lanzhou 730000, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Hosp, 204 Donggang West Rd,Chengguan Dist, Lanzhou 730000, Peoples R China.

年份：2024

卷号：32

期号：1

外文期刊名：JOURNAL OF ORTHOPAEDIC SURGERY

收录：;Scopus(收录号：2-s2.0-85181755355);WOS:【SCI-EXPANDED(收录号:WOS:001137037800001)】；

基金：No Statement Available

语种：英文

外文关键词：enhanced recovery after surgery; outpatient surgery; unicompartmental knee replacement

摘要：Background: Unicompartmental knee arthroplasty (UKA) is an effective treatment method for knee osteoarthritis. With the development and implementation of enhanced recovery after surgery, UKA is now increasingly performed in outpatient surgical centers. However, there is ongoing debate regarding the safety and effectiveness of performing UKA in outpatient settings.Methods: The search was performed to retrieve randomized controlled trials and cohort studies on outpatient UKA from PubMed, Cochrane Library, EMbase, CNKI, and WanFangData databases. The search was conducted from the inception of the databases until August 31, 2023. After independent screening, data extraction, and risk of bias evaluation by two researchers, meta-analysis was performed using RevMan 5.4 software.Results: A total of eight studies involving 18,411 patients were included. The results showed that the postoperative transfusion rate in the outpatient group was lower than that in the inpatient group [OR = 0.36, 95%CI (0.24, 0.54), p < 0.00001], and the difference was statistically significant. However, there was no significant difference between the two groups in terms of readmission rate, reoperation rate, surgical site infection, and periprosthetic fracture. The differences were not statistically significant.Conclusion: Compared to the traditional inpatient route, the blood transfusion rate for single-condyle replacement in the outpatient operation center is lower, and there is no significant difference in readmission rate, reoperation rate, surgical site infection, and periprosthesis fracture. The outpatient approach to UKA is safe, feasible, and highly satisfactory for patients. However, the results have certain limitations, and a rigorous preoperative complication risk assessment can minimize the risk of UKA in outpatient surgery centers.