随着时间的推移,多关节膝关节损伤恶化的结果:系统性审查和元分析
Antonio Klasan1,2, Anne Maerz2, Sven E Putnis3
1AUVA UKH Steiermark, Graz, Austria.
概括
多关节膝关节损伤 (MLKIs) 在手术后2年导致80-85%的膝关节功能保留,逐渐每年下降. 后十字带 (PCL) 损伤显示出较差的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 多关节膝关节损伤 (MLKIs) 是一种严重的,可能改变生命的疾病.
- 对于MLKIs的管理决策包括手术干预,时间和技术.
- 移植选择是重建结果的关键因素.
研究的目的:
- 分析手术管理的MLKIs的长期临床结果.
- 评估随着时间的推移,膝盖功能的发展,并进行至少2年的随访.
主要方法:
- 关于MLKIs的手术结果研究的系统审查和元分析.
- 纳入标准:从2000年至2022年发表的研究,随访时间≥2年.
- 排除标准:非手术治疗,关节整形,儿科病例和评论.
- 主要结果指标:莱斯霍姆,IKDC和特格纳分数.
主要成果:
- 分析包括79项涉及3571名患者的研究;平均年龄35.6岁,平均随访时间4.06年.
- 2年后的Lysholm平均得分为86.09,每年下降0.80 (p=0.0199).
- 2年后IKDC平均得分为81.35,每年下降1.99分 (p<0.001).
- 与基于PCL的损伤相比,非PCL损伤的IKDC和Lysholm得分明显更好.
结论:
- 患有MLKIs的患者在手术后2年保持大约80-85%的膝盖功能.
- 在术后观察到膝盖功能的持续每年下降.
- 基于后十字带 (PCL) 的MLKIs与2年后较差的临床结果有关.
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