对于复发性不稳定的关节镜稳定结果等于一次主要事件后的稳定结果
Jawaad Saleem1, Ben Rawi1, Magnus Arnander1
1St George's NHS Foundation Trust, London, UK.
The bone & joint journal
|September 30, 2024
概括
对于没有骨损失的肩膀不稳定性的关节镜稳定具有较低的复发率,无论之前的脱. 这种手术方法为患者提供了可预测的结果,为治疗决策提供了信息.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械研究 生物机械研究
背景情况:
- 肩部不稳定性管理,特别是在状腺和部骨损失方面,已经得到了充分的证据.
- 在肩部脱后进行手术的最佳时间仍然不确定.
- 人们担心,经常出现的脱位可能会对手术结果产生负面影响,这促使一些人建议早期稳定.
研究的目的:
- 评估先前脱的数量是否影响肩部不稳定性关节镜稳定后的复发率.
- 为了评估在没有显著的状腺骨损失的患者的关节镜稳定结果.
主要方法:
- 一个系统的审查和PubMed,EMBASE,Orthosearch和Cochrane数据库的元分析.
- 搜索术语包括肩部脱的变化,关节镜稳定和复发.
- 方法遵循PRISMA指南,数据由两个独立审稿人综合,并对偏见/质量进行评估.
主要成果:
- 分析了35项涉及7995个肩膀的研究,平均随访时间为32.7个月.
- 稳定后的不稳定率为9.8% (首次失位者),9.1% (反复失位者) 和8.5% (混合队列).
- 年龄的增加与稳定后复发风险的降低有关.
结论:
- 对于前肩部脱位而没有骨损失的关节镜稳定产生了低的术后复发率.
- 在首次和复发性脱位之间,没有观察到复发的显著差异.
- 患者和临床医生可以更好地了解关节镜稳定对这一患者群体的预期结果.
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