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The efficacy of synovectomy for total knee arthroplasty: a meta-analysis

BACKGROUND: Many studies have proposed synovectomy during total knee arthroplasty (TKA) to reduce pain after TKA. The aim of this study was to assess the outcomes of synovectomy for treating of TKA through a meta-analysis. METHODS: Relevant clinical studies on synovectomy and without synovectomy wer...

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Autores principales: Zhao, Zi-qin, Xu, Jin, Wang, Rui-lin, Xu, Li-na
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848558/
https://www.ncbi.nlm.nih.gov/pubmed/29530063
http://dx.doi.org/10.1186/s13018-018-0752-y
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author Zhao, Zi-qin
Xu, Jin
Wang, Rui-lin
Xu, Li-na
author_facet Zhao, Zi-qin
Xu, Jin
Wang, Rui-lin
Xu, Li-na
author_sort Zhao, Zi-qin
collection PubMed
description BACKGROUND: Many studies have proposed synovectomy during total knee arthroplasty (TKA) to reduce pain after TKA. The aim of this study was to assess the outcomes of synovectomy for treating of TKA through a meta-analysis. METHODS: Relevant clinical studies on synovectomy and without synovectomy were retrieved through searching the databases PubMed, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials up to January 2018. Studies that investigated the comparison of pain scores, total blood loss, range of motion, functional Knee Society Scores (KSSs), clinical KSSs, and operating time and provided sufficient data of interest were included in this meta-analysis. Stata 12.0 was used for meta-analysis. RESULTS: Ten randomized controlled trials (RCTs) were finally included in this meta-analysis. Final results indicated that there was no significant difference between the pain scores, range of motion, functional Knee Society Scores (KSSs), and clinical KSSs (P > 0.05). However, synovectomy was associated with an increase of the total blood loss compared to patients without synovectomy (weighted mean difference (WMD) = 116.71, 95% confidence interval (CI) 78.63, 154.79, P = 0.000). Pooled results indicated that synovectomy was associated with an increase of the operating time (WMD = 15.44, 95% CI 2.67, 28.21, P = 0.018). CONCLUSIONS: Current evidence indicates that synovectomy has no effects on the final clinical outcomes for patients undergoing TKA. It will increase the total blood loss and the operating time during TKA.
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spelling pubmed-58485582018-03-21 The efficacy of synovectomy for total knee arthroplasty: a meta-analysis Zhao, Zi-qin Xu, Jin Wang, Rui-lin Xu, Li-na J Orthop Surg Res Research Article BACKGROUND: Many studies have proposed synovectomy during total knee arthroplasty (TKA) to reduce pain after TKA. The aim of this study was to assess the outcomes of synovectomy for treating of TKA through a meta-analysis. METHODS: Relevant clinical studies on synovectomy and without synovectomy were retrieved through searching the databases PubMed, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials up to January 2018. Studies that investigated the comparison of pain scores, total blood loss, range of motion, functional Knee Society Scores (KSSs), clinical KSSs, and operating time and provided sufficient data of interest were included in this meta-analysis. Stata 12.0 was used for meta-analysis. RESULTS: Ten randomized controlled trials (RCTs) were finally included in this meta-analysis. Final results indicated that there was no significant difference between the pain scores, range of motion, functional Knee Society Scores (KSSs), and clinical KSSs (P > 0.05). However, synovectomy was associated with an increase of the total blood loss compared to patients without synovectomy (weighted mean difference (WMD) = 116.71, 95% confidence interval (CI) 78.63, 154.79, P = 0.000). Pooled results indicated that synovectomy was associated with an increase of the operating time (WMD = 15.44, 95% CI 2.67, 28.21, P = 0.018). CONCLUSIONS: Current evidence indicates that synovectomy has no effects on the final clinical outcomes for patients undergoing TKA. It will increase the total blood loss and the operating time during TKA. BioMed Central 2018-03-12 /pmc/articles/PMC5848558/ /pubmed/29530063 http://dx.doi.org/10.1186/s13018-018-0752-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Zhao, Zi-qin
Xu, Jin
Wang, Rui-lin
Xu, Li-na
The efficacy of synovectomy for total knee arthroplasty: a meta-analysis
title The efficacy of synovectomy for total knee arthroplasty: a meta-analysis
title_full The efficacy of synovectomy for total knee arthroplasty: a meta-analysis
title_fullStr The efficacy of synovectomy for total knee arthroplasty: a meta-analysis
title_full_unstemmed The efficacy of synovectomy for total knee arthroplasty: a meta-analysis
title_short The efficacy of synovectomy for total knee arthroplasty: a meta-analysis
title_sort efficacy of synovectomy for total knee arthroplasty: a meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848558/
https://www.ncbi.nlm.nih.gov/pubmed/29530063
http://dx.doi.org/10.1186/s13018-018-0752-y
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