治疗高和骨的外科干预
Celso Gp Dias1, Alexandre L Godoy-Santos1, Jill Ferrari2
1Department of Orthopaedics, Albert Einstein Hospital, São Paulo, Brazil.
The Cochrane database of systematic reviews
|July 25, 2024
概括
与没有治疗或非手术选择相比,Hallux valgus手术可以减少疼痛并改善功能. 然而,复杂与简单骨切除术的证据显示,类似的疼痛缓解,但可能会增加重新手术率.
科学领域:
- 整形外科 整形外科 整形外科
- 手术创新 在外科创新.
- 基于证据的医学基于证据的医学.
背景情况:
- 华氏体,或,影响23-35%的人口,导致疼痛,平衡问题,和鞋子的困难.
- 保守治疗侧重于疼痛管理,而不是形纠正.
- 对于华氏体的最佳手术方法仍然是正在进行的辩论的主题.
研究的目的:
- 评估各种华的手术干预的益处和危害.
- 比较包括安慰剂/假手术,没有治疗,非手术治疗和替代手术技术.
- 评估的主要结果是疼痛,功能,生活质量和不良事件.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查.
- 搜索包括主要数据库 (CENTRAL,MEDLINE,Embase) 到2023年4月.
- 包括25项涉及1597名成年参与者的RCT,在大多数研究中都注意到存在偏差的高风险.
主要成果:
- 手术可以显著减少疼痛,并略有改善功能和患者的满意度,与没有治疗或非手术干预相比.
- 在手术和非手术选择之间没有观察到生命质量的显著差异.
- 复杂的骨切除术显示出与简单骨切除术类似的疼痛结果,但可能会增加重新手术率,对功能和不良事件的影响不确定.
结论:
- 对气的手术干预似乎比保守的治疗提供了疼痛缓解和功能改善.
- 复杂骨切除术和简单骨切除术之间的选择需要仔细考虑,因为复手率的潜在差异.
- 需要进一步的高质量研究来澄清长期的结果和最佳的外科手术策略,用于hallux valgus.
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