在足部整形外科手术中使用尼丁醇压缩主食:系统性审查
Akshay R Reddy1, Hailey Hampton2, Wojciech K Dzieza2
1College of Medicine, University of Florida, Gainesville, FL, USA.
Foot & ankle orthopaedics
|December 2, 2024
概括
尼丁醇主干在足手术中表现有前途,实现高融合率并改善患者的治疗结果. 然而,需要更多的比较研究来充分评估它们与传统植入物相比的有效性.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 临床结果研究研究
背景情况:
- 尼丁醇压缩紧固件在足部和脚手术中具有优势,包括易于使用和有利的生物力学.
- 仅有有限的数据可以比较尼醇支架与传统的植入物,如在这个外科领域的板和螺丝.
研究的目的:
- 系统地审查和描述在前脚和中脚整形外科手术中使用尼诺基基的临床结果.
主要方法:
- 在PubMed,Web of Science和Embase进行了全面的文献搜索.
- 纳入了研究,重点关注在足部外科手术中使用尼诺基的临床结果;生物力学研究和后脚手术被排除在外.
- 两个独立的审查员选了标题,摘要和全文,以确保遵守纳入标准.
主要成果:
- 九篇文章符合纳入标准,研究重点是前脚,中脚或组合区域.
- 在视觉模拟尺度疼痛分数,关节骨关节炎尺度分数和每日生活分数的脚能力测量活动中观察到显著的改善.
- 整体融合率为94.6%,在报告工会的研究中,并发症率为11.25%.
结论:
- 单独使用或与其他结构一起使用的尼丁醇,在足部外科手术中显示出可接受的融合率.
- 目前,很少有临床数据直接比较尼丁醇主干与传统的手术植入物.
- 现有的文献显示了关于尼丁醇主食配置和设计的异质性,需要进一步标准化和研究.
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