骨肌修复技术:对修复和重建方法的结果进行系统审查
Luc M Fortier1, Jeremy M Adelstein2, Margaret A Sinkler1
1Department of Orthopaedic Surgery, University Hospitals, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
概括
本综述比较了状肌修复方法. 对于初级修复,不建议进行圆环增强,而在TKA后的患者中,全移植重建显示出优异的结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 状肌破裂可能是由于急性创伤或慢性退行导致的.
- 修复和重建技术各不相同,影响患者的治疗结果.
- 在文献中,标准化结果报告仍然是一个挑战.
研究的目的:
- 系统地审查和比较各种方法来修复和重建状肌.
- 根据破裂的慢性和手术背景分析功能结果.
主要方法:
- 对MEDLINE和PubMed数据库进行了全面的文献搜索.
- 包括1953年至2021年患者报告结果得分 (PROS) 的英语临床研究.
- 数据提取侧重于功能结果和断裂类别 (急性,慢性,TKA后,ACLR后).
主要成果:
- 分析了23项涉及738名患者的研究.
- 急性修复显示了高的Lysholm分数 (84-99.5).
- 在慢性病例和TKA后的设置中,膝关节社会得分 (KSS) 和运动范围 (ROM) 是关键指标,在TKA后的患者中,全移植重建优于自移植.
结论:
- 由于Lysholm分数较低,不建议在初级状肌修复时进行状肌增强.
- 主要修复,有或没有增强,显示了可比的莱斯霍姆分数.
- 在慢性情况下,增强和重建产生了相似的结果,除了TKA后的病例,其中全移植重建提供了更高的KSS分数.
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