膝关节脱与同时发生的骨骨脱:一个系统性审查
Jonathan McKeeman1, Ryan Lee1, Tyler Smith1
1Department of Orthopaedic Surgery, St. Luke's University Health Network, 801 Ostrum St., Bethlehem, PA, 18015, USA.
Journal of orthopaedics
|November 6, 2024
概括
膝关节脱位与带脱位缺乏标准治疗方法. 这次审查建议首先治疗膝关节脱,然后评估中侧骨关节 (MPFL) 修复或重建的风险因素.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 运动医学运动医学
背景情况:
- 膝盖脱位与相关的带脱位是罕见的伤害.
- 对于管理这些复杂的伤害,没有确立的共识或护理标准.
- 这一系统性审查旨在巩固当前的治疗方法,并提出一个管理算法.
研究的目的:
- 系统地审查有关膝关节脱位与同时发生带脱位的现有文献.
- 为了提供对这种伤害模式的当前治疗策略的概述.
- 为临床医生提出一种首选的治疗算法.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 在2024年7月,在PubMed,MEDLINE和Cochrane数据库中进行了搜索.
- 包括涉及膝关节脱和带脱的人类患者的研究.
主要成果:
- 搜索发现了288个标题;最终包括了六篇全文文章.
- 三项研究报告了急性膝关节脱位与带脱位,三项研究报告了慢性病例.
- 在所有纳入的研究中,针对带不稳定的手术干预一直被报告.
结论:
- 膝盖脱位与相关的带脱位需要谨慎管理.
- 对于膝关节脱的标准治疗应最初应用.
- 风险因素的后续评估指导了关于中侧骨带 (MPFL) 修复或重建的决定.
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