第一个甲松关节关节镜检查:揭开临床证据 - - 一项系统性审查
Elena Artioli1, Antonio Mazzotti2, Simone Ottavio Zielli1
1IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 1st Orthopaedic and Traumatologic Clinic, 40136, Bologna, Italy.
概括
第一次甲松关节 (1MTP) 关节镜检查显示,硬性的复发率很高,但高的复发率很高. 需要进一步的研究来比较它与传统的方法.
科学领域:
- 整形外科手术 整形外科手术
- 脚部和脚手术的方法
- 微创手术是最少的侵入性手术.
背景情况:
- 越来越多地使用的是第一个甲松关节 (1 MTP) 的关节镜检查.
- 尽管有技术描述,但临床和放射性结果的数据有限.
研究的目的:
- 系统地审查和分析关于初级1 MTP关节镜的研究.
- 根据指示病理学对结果进行分类.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed和Cochrane数据库中搜索相关研究.
- 提取了有关患者人口统计,病理,结果,并发症和重新手术的数据.
主要成果:
- 分析了14篇关于405名患者的文章.
- 显著改善了Hallux Valgus Angle和Hallux valgus的间角.
- 增加的运动范围对于硬性幻觉.
- 并发症包括感官损失 (3%) 和重新手术率 (4.28%).
结论:
- 初级1MTP关节镜检查的证据有限.
- 对于刚性形最有效;对形形有令人满意的角度纠正,但复发率很高.
- 通常是安全的,但需要与传统方法进行比较研究.
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