结节或无结节的双排旋转手套修复复率:一个系统的审查和元分析
João A Figueiredo1, Marco Sarmento2, Nuno Moura2
1Department of Orthopaedic and Trauma Surgery, Hospital de Cascais, Cascais, Portugal.
JSES reviews, reports, and techniques
|February 7, 2024
概括
这项研究比较了无节点和有节点的旋转手腕修复技术,没有发现反复率的显著差异. 需要进一步的研究来探索影响关节镜旋转手套修复结果的因素.
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:
- 关节镜旋转手套修复历史上使用结结的双排技术.
- 无节点透骨等效手术是一种较新的替代方案,促使对它们的比较疗效进行研究.
- 无节点技术的生物机械优势表明,可能会降低断裂率.
研究的目的:
- 为了确定无节点或有节点的关节镜旋转手套修复技术是否与较低的断裂率有关.
- 为了比较无节点横骨相应的临床结果与传统的结节双排修复方法.
主要方法:
- 使用PubMed和谷歌学者进行了系统的文献搜索,遵守PRISMA指南.
- 符合条件的研究比较了结结的双排和无结的横骨相当的关节镜旋转手套修复的复发率,并在手术后≥6个月进行成像.
- 来自9篇符合条件的文章的数据,包括1888名受试者,使用Review Manager 5.4.1与Mantle-Haenszel统计数据进行了分析.
主要成果:
- 文献综述确定了24篇文章,其中9篇适合进行元分析.
- 在结节和无结节的关节镜旋转手套修复技术之间没有观察到统计学上显著的反复率差异.
- 对1888名受试者的分析没有显示出基于所使用的修复技术的重复率的显著差异.
结论:
- 目前的证据表明,无结和结结的关节镜旋转手套修复技术之间的复发率没有显著差异.
- 限制包括所包含研究的质量,只有两项报告1级证据.
- 建议以更大的样本大小和更长的随访期进行未来研究,以控制诸如撕裂大小和组织质量等混变量.
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