螺丝相关的并发症可能发生在关节镜相对开放后喷射程序后的更大速度:系统性审查
Juan David Lacouture-Suarez1, Michel Azar1, Christopher M Brusalis2
1ICR-Institut de Chirurgie Réparatrice - Groupe KANTYS, Institute for Sports & Reconstructive Surgery, Nice, France.
Arthroscopy, sports medicine, and rehabilitation
|August 30, 2023
概括
在Latarjet手术中螺丝固定并发症可能占外科手术问题的三分之一. 关节镜后喷射手术并不能减少与螺丝有关的并发症,并且可能增加螺丝去除率.
科学领域:
- 整形外科手术 整形外科手术
- 肩部外科手术 肩部外科手术
- 运动医学 运动医学
背景情况:
- 拉达喷气手术是一种用于肩部不稳定的常见手术.
- 在此过程中,经常使用螺丝固定来固定心脏状移植物.
- 了解与螺丝相关的并发症对于优化手术结果至关重要.
研究的目的:
- 为了确定在Latarjet程序中与螺丝固定相关的并发症率.
- 为了比较开放式和关节镜拉达喷气技术之间的螺丝相关并发症.
主要方法:
- 对MEDLINE和EMBASE数据库进行了系统审查.
- 包括的研究报告了开放式和/或关节镜拉塔喷射手术的临床结果.
- 分析了32项研究的数据,其中包括2,758个肩膀.
主要成果:
- 整体并发症率在1.4%至36%之间.
- 与螺丝相关的并发症发生在0%至16%的病例中,螺丝去除率从0%到18%.
- 关节镜后喷气手术显示,与开放手术相比 (高达7.3%),螺丝拆除率可能更高 (高达18%).
结论:
- 螺丝固定可能导致多达三分之一的Latarjet手术并发症.
- 关节镜后喷射手术并没有显示较低的螺丝相关并发症率.
- 疼痛和螺丝松动是拆除螺丝的主要迹象.
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