骨联盟的外科管理结果:系统性审查
Maksym Polt1, David Alexander Graf2, Samuel Brunner2
1Department of Orthopedic Surgery and Traumatology, Bürgerspital Solothurn, Schöngruenstrasse 42, 4500, Solothurn, Switzerland. polt.maksym@gmail.com.
Archives of orthopaedic and trauma surgery
|July 18, 2023
概括
在大约77.8%的病例中,状结合 (TC) 的手术治疗显示出良好的结果,开放切除和物质插入是有效的. 然而,数据质量有限,联盟类型有限.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚手术 脚和脚手术
- 系统性审查和元分析
背景情况:
- 状联盟 (TC) 是一种先天性疾病,影响脚和脚.
- 手术干预是对症状性头结盟的常见治疗方法.
- 了解手术结果和影响因素对于患者管理至关重要.
研究的目的:
- 为了分析状联盟的外科治疗结果.
- 评估手术技术,联盟规模和类型对结果的影响.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在 MEDLINE,Central,Scopus 和 Web of Science 数据库中进行了搜索.
- 收集患者报告的结果指标 (PROM),并发症,修订和复发;使用MINORS标准评估偏差风险.
主要成果:
- 包括25项研究,涉及760个形结合;平均随访时间为44个月.
- 在77.8%的手术治疗病例中报告了良好的/优秀的PROM.
- 用材料插入进行开放切除的成功率为78.8%;并发症为4.96%. 联盟规模没有显著影响结果;联盟类型没有研究.
结论:
- 状结合的外科手术管理数据受限于具有偏差和中等异质性高风险的回顾性研究.
- 在大约四分之三的病例中,开放切除和物质插入产生了改善的PROM.
- 在经过审查的文献中,联盟的大小和类型并不是影响手术结果的重要因素.
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