恢复破裂的柔肌的技术:一个范围审查
Assaf Kadar1, Shanny Gur1, Haggai Schermann2
1Hand Surgery Unit, Department of Orthopedics, Rabin Medical Center, Petah Tikva, Israel.
Plastic surgery (Oakville, Ont.)
|March 4, 2024
概括
在曲肌撕裂后的近端茎取缺乏高质量的证据来比较外科手术技术. 建议采用渐进式方法,在可能的情况下偏好内镜检索.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨研究 研究
背景情况:
- 柔肌的撕裂经常导致近端茎的收缩.
- 有效的收回收缩肌对于成功的手术修复和功能恢复至关重要.
研究的目的:
- 系统地审查和分类手术技术,用于近端 flexor 肌茎回收.
- 分析现有的临床证据,以及与每个技术相关的优点和缺点.
主要方法:
- 使用Medline和Web of Science数据库进行了全面的文献搜索.
- 详细介绍肌检索技术的出版物被确定,分为8组,并根据报告的结果和特征进行分析.
主要成果:
- 在841个已识别的出版物中,有33个被纳入分析.
- 证据库主要由低质量的研究组成,只有两个低质量的随机对照试验.
- 不存在高质量的证据来进行不同检索技术的定量比较.
结论:
- 目前缺乏高质量的证据来量化比较曲肌回收技术.
- 定性审查建议采取渐进式方法:在失败的非手术尝试后,建议在A1轮水平上进行近端切口检索,理想情况下不要将肌外化.
- 在可行的情况下,内镜检索提供了一个有希望的替代方案.
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