吸收性与非吸收性线用于阿基里斯肌修复:系统性审查和元分析
Ihsan Oesman1, Anissa Feby Canintika1
1Department of Orthopaedics and Traumatology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Foot & ankle orthopaedics
|October 20, 2023
概括
可吸收的线在急性阿基里斯肌破裂的修复中提供与不可吸收的线相似的结果. 这次系统性审查没有发现重裂,感染或异物反应的显著差异,支持可吸收作为可行的选择.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 临床研究 临床研究
背景情况:
- 由于其强度,不可吸收的是急性阿基里斯断裂 (AATR) 修复的标准.
- 有关AATR修复中复发率,感染,异物反应和型之间的恢复差异存在担忧.
- 需要对AATR进行全面的审查,比较可吸收和不可吸收的 sutures.
研究的目的:
- 在急性阿基里斯肌破裂修复中,系统地审查和比较可吸收与不可吸收的结果.
- 为了评估两种接材料类型之间的并发症率和患者康复的差异.
- 为AATR管理中的外科决策提供基于证据的见解.
主要方法:
- 使用PubMed,EBSCO,Cochrane和Embase数据库进行了系统审查,遵守PRISMA指南.
- 包括研究研究了可吸收和不可吸收的AATR修复.
- 使用Cochrane RoB 2和ROBINS-I工具进行了偏差风险评估.
主要成果:
- 分析了5项涉及255名患者的研究 (105个可吸收,150个不可吸收的 sutures).
- 两组之间在复发,感染或异物反应的风险上没有观察到统计学上显著的差异.
- 患者的康复得分在可吸收和不可吸收接组之间是可比的.
结论:
- 可吸收的线在急性阿基里斯肌破裂的修复中显示出与不可吸收的线相似的结果.
- 复发率,感染率和异物反应率是相似的,无论使用哪种材料.
- 这些发现表明可吸收是AATR手术修复的安全有效替代品.
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