关节镜心关节关节关节损伤的关节镜心关节关节关节管理结果:一个系统的审查
Rohan Shah1, Chetan Gohal2, Mark Plantz3
1Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Journal of orthopaedics
|October 1, 2024
概括
这一系统性审查表明,对于心肌关节带 (CC) 带损伤的关节镜手术是安全有效的. 它为急性和慢性关节 (AC) 关节位移提供了良好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械修复 生物机械修复
背景情况:
- 脊椎关节 (AC) 关节位移往往涉及心脏关节 (CC) 带损伤.
- 许多手术技术存在,但缺乏CC带修复的黄金标准.
- 关节镜疗法在治疗交流关节损伤方面越来越受欢迎.
研究的目的:
- 系统地审查和评估慢性和急性AC关节脱的关节镜外科手术的临床结果.
- 评估关节镜CC带重建的疗效和安全性.
主要方法:
- 在PubMed,EMBASE和OVID (MEDLINE) 进行了系统的文献搜索,截至2022年12月20日.
- 包括专注于人类关节镜CC带重建的研究 (I-IV级证据).
- 不包括仅涉及开放式重建技术的研究. 主要结局:功能/疼痛得分,CC距离,并发症和修订率.
主要成果:
- 分析了52项研究,报告了高的术后Constant-Murley得分 (82.8-99) 和低的VAS疼痛得分 (0.3-4.1).
- 修订率不同 (0-44.4%),急性和慢性病例之间没有显著差异 (P=0.268).
- 慢性AC关节脱位 (25.5%) 与急性 (16.4%,P<0.001) 相比,并发症的发生频率更高.
结论:
- 对急性和慢性AC关节损伤的关节镜CC带重建表明结果超过临床重要差异最小值 (MCID) 和患者可接受的症状状态 (PASS).
- 该程序显示低失败率,建立关节镜CC重建作为慢性AC关节脱的安全和有效的治疗选择.
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