The efficacy of steroid injection in total knee or hip arthroplasty

doi:10.1007/s00167-014-3049-7

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	The efficacy of steroid injection in total knee or hip arthroplasty
	Cui, ZH; Liu, X; Teng, YJ; Jiang, J; Wang, J; Xia, YY; Xia, YY (reprint author), Lanzhou Univ, Hosp 2, Orthopaed Key Lab Gansu Prov, 82 Cuiyingmen, Lanzhou City 730030, Gansu Province, Peoples R China.
刊名	KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
	2015-08
卷号	23 期号:8 页码:2306-2314
关键词	Total knee arthroplasty Total hip arthroplasty Steroid injection Randomized controlled trial
ISSN号	0942-2056
DOI	10.1007/s00167-014-3049-7
文献子类	Article
英文摘要	A systematic review and meta-analysis based on randomized controlled trials (RCTs) was conducted to evaluate the efficacy and safety of steroid injection in total knee or hip arthroplasty (TKA/THA). A systematical electronic search identified the relevant RCTs in the databases of PubMed, EMBASE, MEDLINE and Cochrane Central Register of Controlled Trials. Two reviewers independently completed data collection and assessment of methodological quality. Meta-analysis was performed for the outcomes of visual analogue pain score, range of motion (ROM), postoperative nausea and vomiting (PONV), morphine consumption, length of stay and complications. A total of 863 participants were enrolled. Patients who received steroid injection had a significant reduction in the incidence of PONV and improvement in short-term pain score, and ROM (p < 0.05). Regarding morphine consumption and hospitalization time, the steroid group showed a significant reduction in TKA but no statistically significant difference in THA. In addition, there were no significant differences in complications (n.s.). The current evidence suggests that steroid injection in TKA/THA provides short-term advantages in pain relief and antiemetic effects. The optimal dose and long-term effects of steroid injection still require numerous studies. II.
学科主题	Orthopedics ; Sport Sciences ; Surgery
出版地	NEW YORK
语种	英语
WOS记录号	WOS:000358375200023
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/179384]
专题	第二临床医学院_期刊论文
通讯作者	Xia, YY (reprint author), Lanzhou Univ, Hosp 2, Orthopaed Key Lab Gansu Prov, 82 Cuiyingmen, Lanzhou City 730030, Gansu Province, Peoples R China.
推荐引用方式 GB/T 7714	Cui, ZH,Liu, X,Teng, YJ,et al. The efficacy of steroid injection in total knee or hip arthroplasty[J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,2015,23(8):2306-2314.
APA	Cui, ZH.,Liu, X.,Teng, YJ.,Jiang, J.,Wang, J.,...&Xia, YY .(2015).The efficacy of steroid injection in total knee or hip arthroplasty.KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,23(8),2306-2314.
MLA	Cui, ZH,et al."The efficacy of steroid injection in total knee or hip arthroplasty".KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 23.8(2015):2306-2314.