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同时的关节镜上部拉布拉和旋转袖口修复:系统性审查
Dana G Rowe1, Eoghan T Hurley2, Mikhail A Bethell1
1School of Medicine, Duke University, Durham, North Carolina.
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|November 5, 2024
概括
同时修复上部腹部和旋转袖口撕裂的关节镜术提供了良好的功能结果和运动范围,只有少数重复手术. 运动员体验到适度的回归率,但回归到以前的水平较少.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部关节镜检查 肩部关节镜检查
背景情况:
- 有限的临床证据证实了相结合的上方腹腔和旋转袖口撕裂修复.
- 需要进行系统审查,以整合现有数据.
研究的目的:
- 系统地审查关于同时修复上部腹部和旋转手套撕裂的文献.
- 为了评估功能结果,运动范围,回归游戏率和并发症.
主要方法:
- 在PubMed,Embase和Cochrane图书馆进行系统的文献搜索.
- 包括对经过旋转手腕和上腹肌综合修复的患者的临床研究.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 分析了10项研究 (241个肩膀);平均年龄52.6岁,平均随访时间29.0个月.
- 良好的功能评分 (例如,ASES 88.6) 和术后获得的运动范围.
- 整体并发症率为4.1%,旋转手腕复发率为18.9%,重复手术率为2.4%.
- 恢复率为76.8%,其中67.9%的人恢复到受伤前的水平.
结论:
- 关节镜同时修复产生了有利的功能和运动范围的结果,重新操作率低.
- 运动员表现出适度的回归率,其中较低的百分比回归到他们以前的竞争水平.
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