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强迫性关节骨非结合的血管化骨重建:对文献的系统审查
Jenny Chiang1, Yasiru Gehan Karunaratne2, Pascalino Romeo2
1From the Department of Orthopaedics, Hornsby Hospital, Sydney NSW, Australia.
血管化骨片有效地重建关节骨非结合,在骨,中枢股骨 (MFC) 和肋骨捐赠部位实现高结合率. 与骨和肋骨板相比,MFC板显示出较低的并发症率.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
- 骨愈合 骨愈合 的方法
背景情况:
- 关节非联合 presents一个重大挑战,影响患者的生活质量,经常需要复杂的管理.
- 血管化骨重建是反抗性病例的可行选择,或者当非血管化移植不适合时.
- 对于血管化骨片,存在各种各样的捐赠站点,每个都有明显的优点和缺点.
研究的目的:
- 系统地审查关节骨非结合的血管化骨重建的结果.
- 为了比较不同供体部位的疗效和并发症率,用于关节骨重建.
主要方法:
- 对MEDLINE和Embase数据库进行了系统审查.
- 包括涉及关节骨非结合的血管化骨重建的研究.
- 提取了患者人口统计,非工会特征,手术细节,工会率和并发症的数据.
主要成果:
- 分析了26篇论文中的67名患者,平均年龄为43.1岁.
- 放射性结合率很高:95.2%的状,95.6%的中侧大腿 (MFC) ,和66.7%的肋骨.
- 并发症的发病率各不相同:长片的发病率为55.6%,MFC片的发病率为26.1%,肋骨片的发病率为50%,MFC的发病率较低.
结论:
- 所有评估的血管化骨片在关节骨重建方面都实现了可比的结合率.
- 与骨和肋骨相比,中骨 (MFC) 片具有较低的并发症概况,特别是在捐赠部位的发病率方面,相比于骨和肋骨片.
- 血管化骨移植是关节非结合的有效重建策略,捐赠者位置的选择会影响患者的结果.
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