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关节镜稳定后肩部不稳定的结果:系统审查
Julia E Ralph1, Eoghan T Hurley1, Kiera Lunn1
1Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Journal of shoulder and elbow surgery
|June 2, 2024
概括
关节镜稳定有效地治疗后肩部不稳定,显示出高患者满意度和低复发率. 这种手术方法为患有这种疾病的患者提供了良好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 关节镜检查 (arthroscopy) 是一种关节镜检查.
背景情况:
- 后肩部不稳定占所有肩部不稳定病例的10%.
- 后部不稳定的诊断和治疗不太了解.
- 最近,对后部不稳定和稳定性的关注越来越大.
研究的目的:
- 系统地审查有关关节镜稳定后肩部不稳定性结果的文献.
主要方法:
- 使用MEDLINE数据库按照PRISMA指南进行系统的文献搜索.
- 纳入标准:研究报告了手术后的结局,用于关节镜稳定后肩部不稳定.
- 两名独立审查员评估了研究资格.
主要成果:
- 审查了48项涉及2307个肩膀的研究;主要是男性患者 (83.3%),平均年龄为26.1岁.
- 报告的患者满意度高 (90.9%),美国肩膀和肘部外科医生平均得分为84.77.
- 低复发率 (7.4%),复发率 (5.2%) 和残留疼痛率 (16.6%);86.4%的人重返游戏.
结论:
- 关节镜稳定是一种成功治疗后肩部不稳定的方法.
- 实现良好的功能结果,高的患者满意度和低的并发症率.
- 在术后观察到的复发性不稳定性,修订和残留疼痛的低率.
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