修改的梅森 - 艾伦与两个简单的针固定中介半月后部根撕裂:一个系统的审查和元分析
Khalis Boksh1, Andre Martins1, Mohamed Elbashir1
1Leicester Knee Unit, Department of Trauma and Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
The American journal of sports medicine
|January 23, 2024
概括
修改后的梅森 - 艾伦 (MMA) 和两个简单的 (TSS) 技术用于中间半月体后部根撕裂修复显示了类似的临床结果和愈合. 需要进一步的研究来确定这些方法之间的长期差异.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 运动医学 运动医学
背景情况:
- 中间阴茎后部根撕裂 (MMPRT) 可以使用各种接技术来修复.
- 修改后的梅森 - 艾伦 (MMA) 技术被提出作为一种替代传统的两种简单 (TSS) 技术用于MMPRT修复.
- 由于其潜在的优越生物力学特性,建议使用MMA.
研究的目的:
- 进行系统审查和元分析,比较MMA和TSS技术用于MMPRT修复.
- 为了评估MMA和TSS之间的临床结果,中间阴茎挤出 (MME) 和术后愈合之间的差异.
- 为了确定MMPRT修复的最佳接配置.
主要方法:
- 根据PRISMA标准进行了系统审查和元分析.
- 在Cochrane,PubMed,Medline和Embase数据库中使用相关关键字进行了搜索.
- 关于患者报告的结果,MME,愈合和骨关节炎进展的数据被提取和分析.
主要成果:
- 包括6项涉及291名患者 (160名MMA,131名TSS) 的研究.
- 在14.2个月的患者报告结果中,没有发现MMA和TSS之间的显著差异.
- 术后的MME和阴茎愈合率对于这两种技术都是相似的.
结论:
- 两种MMA和TSS接配置都显示出相应的临床结果,MME和MMPRT修复的术后愈合.
- TSS技术可能会带来更短的学习曲线和更短的操作时间的好处.
- 需要进一步进行随机对照试验,采用更大的样本大小和更长的随访时间,以最终评估差异,特别是在冠状腺退化和骨关节炎方面.
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