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在关节镜旋转手套修复后,杆与绑架支架肩部固定:系统性审查和元分析
Jing-Hui Gao1, Jing-Yi Zhou1, Hong Li2
1Department of Nursing, Huashan Hospital, Fudan University, Shanghai, China.
Orthopaedic journal of sports medicine
|August 4, 2023
概括
旋转袖子后修复,既没有绑架支架,也没有杆显著影响了临床结果或复发率. 这项系统性审查发现,这两种固定化方法在肩膀功能或疼痛方面没有显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 再生医学是一种再生医学.
背景情况:
- 在旋转手腕修复后,最佳的肩部固定方法仍然是争论的主题.
- 当前的做法各不相同,影响患者的康复和手术结果.
研究的目的:
- 为了比较临床结果和经过关节镜旋转手套修复后的复发发病率.
- 为了评估绑架支架与手术后悬挂固定支架的疗效.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在PubMed,MEDLINE和Embase搜索随机对照试验 (RCT).
- 在绑架支架和吊带组之间比较临床分数,疼痛和复发率.
主要成果:
- 分析了224名患者的4个RCT;3个RCT被纳入了元分析.
- 两组之间在3,6或12个月后的Constant-Murley得分没有显著差异.
- 视觉模拟尺度疼痛评分在各种术后时间点没有显著差异.
- 术后3个月的复发率没有显著差异.
结论:
- 这一系统性审查发现绑架支架和吊带固定之间没有显著差异.
- 这两种方法在术后临床评分,疼痛和肌愈合方面都产生了相似的结果.
- 选择固定可能不会严重影响关节镜旋转手套修复后的短期结果.
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