慢性肌修复后的结果和并发症:系统性审查
Alexander K Hahn1, Carlo Coladonato2, John J Corvi3
1Orthopaedic Surgery, University of Connecticut, Farmington, USA.
Cureus
|August 14, 2023
概括
通过自移植或全移植重建慢性肌断裂显示出相当好的结果和较低的并发症率. 手术后至少六周的固定是对移植保护和最佳结果至关重要的.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 重建性手术是一种重建性手术.
背景情况:
- 慢性状肌破裂是一种罕见的伤害,影响膝盖的延伸机制.
- 及时有效的重建对于恢复功能和预防长期残疾至关重要.
研究的目的:
- 系统地审查和报告与慢性状肌重建相关的结果和并发症.
- 评估不同类型的移植 (自移植和异移植) 在重建慢性骨肌破裂方面的疗效.
主要方法:
- 在2021年7月之前对四个数据库 (Cochrane,PubMed,Embase,MEDLINE) 进行系统审查.
- 纳入标准:慢性骨肌重建 (>4周),英语,>5名患者,≥2年的随访.
- 排除标准:非原始研究,先前的全膝关节整形术.
主要成果:
- 包括9项研究 (96名患者). 七个使用过的自体移植,两个使用过的骨骨 (BTB) 全移植.
- 自体移植重建显示平均Lysholm分数为74-94和延伸器滞后0-3°.
- 所有移植重建报告的Lysholm平均得分为62-67,这两种方法都建议≥6周的固定.
结论:
- 自体移植和异体移植的重建都为慢性状肌破裂提供了可行的选择.
- 相当好的功能结果和较低的并发症率可以通过当前的重建技术实现.
- 建议进行至少六周的术后固定,以确保移植的愈合并优化患者的治疗结果.
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