在关节镜检查后使用术后支架:系统性审查
Sophia Mavrommatis1, Aliya G Feroe2, Ryan R Fader3
1Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
概括
关节镜术后的关节支架是常见的,但缺乏证据. 需要更多的研究来确定关节支架是否改善了关节镜关节手术后的患者结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 关节节镜后的关节支架是骨科外科医生中常见的做法.
- 目前,缺乏基于证据的支持,包括比较研究和临床试验,以验证其有效性.
研究的目的:
- 总结一下关节镜术后关节支架的当前率和适用情况.
- 记录外科医生对支架使用的偏好,并确定使用的支架类型.
- 评估现有的关于关节镜后关节支架实践的文献.
主要方法:
- 对PubMed,Embase和Medline数据库进行了系统审查.
- 两个独立审稿人确定并选择了2022年1月之前发表的相关原创研究文章.
- 总共有14项研究符合分析的纳入标准.
主要成果:
- 高达40%的整形外科医生在术后使用关节支架.
- 支架使用的手术指示在从业者之间高度变化.
- 虽然支架持续时间的建议有所不同,但注意到对运动范围的一致限制.
结论:
- 尽管它很常见,但没有足够的证据证实关节支架在关节关节镜术后改善了患者的结果.
- 需要更高水平的证据来确定与关节镜后关节支架相关的身体,精神和经济利益和成本.
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