常规的综合性螺丝拆除有没有任何目的? 系统文献综述 系统文献综述
Błażej G Wójtowicz1, Katarzyna Chawrylak2, Jędrzej Lesman1
1Department of Orthopedics and Traumatology of the Musculoskeletal System, WAM University Clinical Hospital, Central Veterans Hospital, Żeromskiego 113 St., 90-549 Lodz, Poland.
Journal of clinical medicine
|August 29, 2024
概括
当前的证据并没有明确地支持在带综合症损伤固定后进行综合性螺丝的例行清除. 除非出现并发症,否则由于潜在的风险和成本,一般不建议去除螺丝.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 带带综合症的伤害往往涉及螺丝固定.
- 综合性螺丝拆除的必要性和结果仍在争论中.
研究的目的:
- 系统地审查关于综合性螺丝拆除与非拆除的功能性,临床和放射性结果的最新证据.
- 为了评估螺丝扣留对患者康复和脚功能的影响.
主要方法:
- 科克莱恩图书馆和PubMed Medline (2004-2024) 的综合文献搜索.
- 纳入关于状带综合性螺丝固定的临床研究,并评估结果.
- 专注于每组至少15名患者的原始研究.
主要成果:
- 大多数研究 (67%) 发现螺丝拆除和保留之间没有显著差异.
- 一些研究表明,使用螺丝扣留 (15%) 的结果更差,使用拆除 (7%) 的风险更差.
- 不同的螺丝拆除间隔之间没有观察到足功能的显著差异.
结论:
- 目前的文献不支持常规去除综合性螺丝.
- 除非存在特定的迹象,否则应避免例行清除,考虑到潜在的并发症和成本.
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