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在Acromioclavicular关节乱中,双内巴扣和关节板的比较:系统性审查和元分析

Govind Kumar Gupta¹, Subhajit Halder¹, Sudha Rani²

¹Department of Orthopedic, Rajendra Institute of Medical Sciences, Bariatu, Ranchi, Jharkhand, India.

Annals of African medicine

|September 16, 2024

概括

与关节板 (CHP) 相比,双端扣固定用于关节关节 (ACJ) 干扰提供了优越的功能结果. 虽然植入物失败在内侧按中更常见,但CHP的使用与其他并发症的更高率有关.

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:

脊髓关节 (ACJ) 损伤需要使用内扣或关节板 (CHP) 进行外科纠正.
之前的研究表明,这些固定方法之间的长期结果相似.
这一元分析特别比较了Rockwood类型III-VI ACJ中断的双端按与CHP.

研究的目的:

为了评估和比较功能结果和并发症率的双端扣固定与关节板 (CHP) 关节关节 (ACJ) 干扰.
综合现有研究的证据,以指导ACJ损伤的手术决策.

主要方法:

在2022年1月26日之前,通过独立搜索多个电子数据库 (PubMed,Google Scholar,MEDLINE,SCOPUS,Web of Science) 进行了全面的元分析.
来自14项队列研究,2项随机对照试验和1项病例对照研究的数据使用Stata软件提取和分析.
研究偏差使用纽卡斯尔-太华尺度和RevMan 5.4软件进行评估.

主要成果:

双键组在Constant-Murley评分 (WMD 5.79),视觉模拟尺度 (WMD -0.63) 和加利福尼亚大学洛杉矶分校 (UCLA) 肩膀评分 (WMD 3.32) 中显示出明显更高的分数.
植入物失败被确定为双内结节组中更常见的并发症.
分析包括来自17项涉及患有ACJ中断的患者的研究的数据.

结论:

与关节板 (CHP) 相比,双端扣固定为关节关节 (ACJ) 干扰 (洛克伍德类型III-VI) 提供了优越的功能和临床结果.
在CHP群体中,出现了较高的亚层侵蚀率,ACJ关节损伤和感染,往往需要进行二次手术.
虽然植入失败更常见于双重内关键,但整体并发症概况有利于这种方法用于ACJ干扰治疗.

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