关节镜修复后复发的风险因素 班卡特:系统性审查
Clark H Bulleit1, Eoghan T Hurley1, Crystal Jing1
1Department of Orthopaedics, Duke University, Durham, NC, USA.
Journal of shoulder and elbow surgery
|June 9, 2024
概括
年轻的年龄,状骨损失和非轨道的Hill-Sachs病变增加了关节镜Bankart修复后复发不稳定的风险. 识别这些因素有助于预测结果,并管理患者对肩部修复成功的期望.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 反复出现的不稳定性是关节镜班卡特修复后的一个重要并发症.
- 现有的风险因素和预测工具对其对结果的个人贡献缺乏共识.
- 需要进行系统审查来识别和量化这些风险因素.
研究的目的:
- 系统地审查文献,并确定关节镜班卡特修复后复发不稳定的风险因素.
- 量化识别的风险因素对复发率的贡献.
- 提供影响肩部不稳定性手术结果的因素的全面概述.
主要方法:
- 使用PubMed/MEDLINE数据库进行了全面的文献搜索.
- 研究的选择是基于系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括的研究评估了关节镜班卡特修复后复发不稳定的风险因素.
主要成果:
- 对111项研究 (19,307名患者) 的分析确定了45个风险因素.
- 年龄较小的年龄 (<20岁) 显示复发率增加了2倍 (27.0%对13.3%).
- 状骨损失,非轨道的Hill-Sachs病变和较少的与更高的复发率有关.
结论:
- 年轻的年龄,状骨质损失和非轨道的Hill-Sachs病变是复发的确诊危险因素.
- 运动参与,固定装置的数量和患者的性别也成为常见的因素.
- 这些发现有助于风险分层和为关节镜Bankart修复提供患者咨询.
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