孤立的小腿骨关节病的结果:一个系统的审查
Charlotte Cossins1, Ben George1, Adrian J Talia1,2
1Nuffield Orthopaedic Centre, Oxford, United Kingdom.
Foot & ankle orthopaedics
|May 10, 2024
概括
这次审查发现,在骨关节病 (TCA) 中,内部与外部固定的结合率相似. 外部固定有更多的并发症,这表明需要对新技术进行进一步的研究,以获得最佳的外科管理.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚手术 脚和脚手术
- 关节切除技术 关节切除技术
背景情况:
- 骨关节病 (TCA) 旨在将骨和骨融合在一起.
- 外科选择包括内部固定 (内指甲,板) 和外部固定.
- 由于证据有限,孤立的TCA的最佳外科手术方法仍然不清楚.
研究的目的:
- 系统地审查和比较不同固定方法的结果,用于tibiocalcaneal关节骨折.
- 评估工会率,并发症和功能结果.
- 为了指导TCA的外科决策.
主要方法:
- 在MEDLINE和牛津SOLO数据库的系统文献搜索.
- 包括的研究重点是单独的TCA,随访时间超过6个月,具体的结果措施.
- 主要结局是关节结合;次要结局包括并发症和PROMs.
主要成果:
- 包含53例病例的9项研究符合纳入标准.
- TCA结合率:外部固定 (86.2%),内指甲 (82.4%),板固定 (83.3%).
- 整体并发症率为69.8%;外部固定有频繁的并发症.
结论:
- 内部和外部固定方法显示TCA的联合率相似.
- 外部固定与更高的并发症率和更苛刻的术后过程有关.
- 像3D打印子这样的新兴技术需要对TCA进行进一步的研究.
相关概念视频
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