螺丝固定与拉塔喷气程序的接按固定 - - 一个系统的审查和元分析
Luciano A Rossi1, Ignacio Pasqualini2, Salvatore J Frangiamore2
1Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Shoulder & elbow
|November 18, 2024
概括
使用螺丝固定的Latarjet手术显示出较少的反复不稳定病例,但比扣固定更多的重复手术. 这两种方法都为肩膀不稳定提供了有利的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 经常出现的肩部不稳定是常见的骨科问题.
- 拉达喷射手术是一种广泛使用的手术技术,用于治疗前肩部的不稳定.
- Coracoid 移植固定是 Latarjet 程序的一个关键步骤,螺丝和扣是常见的方法.
研究的目的:
- 系统地审查和分析比较螺丝 (S) 与拉达喷射手术中心脏骨移植的接按固定的研究.
- 评估这两种固定方法的相对有效性和安全性.
主要方法:
- 在PubMed,EMBASE和Cochrane图书馆进行了系统的文献搜索.
- 包括的研究是队列研究,比较拉塔喷气程序中的螺丝固定与按固定.
- 数据根据系统审查和元分析 (PRISMA) 准则的首选报告项目进行分析.
主要成果:
- 分析了五项涉及877名患者的研究.
- 螺丝固定显示复发不稳定率显著降低 (1.5%与5%相比,p=0.001).
- 螺丝固定有明显更高的重复操作率 (4.3%对0%,p=0.001) 在总并发症,移植骨折或症状硬件没有显著差异.
结论:
- 拉达喷气手术不论使用何种固定方法,都能获得良好的结果,并发症率低.
- 螺丝固定与减少反复的不稳定性有关,但由于术后疼痛或刺激而增加了重新手术.
- 螺丝和扣固定都是Latarjet程序的可行选择,具有明显的风险-收益概况.
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