对于患有先前发作障碍的患者的Latarjet程序与对照:系统性审查和元分析
David O'Sullivan1, Martin S Davey1, Eoghan T Hurley2
1Royal College of Surgeons in Ireland, Dublin, Ireland; UPMC Sports Surgery Clinic, Dublin, Ireland.
Journal of shoulder and elbow surgery
|December 5, 2024
概括
经过Latarjet手术的性疾病患者面临更高的复发和修复率. 预先存在的SD与较差的功能结果有关,因此在管理肩部不稳定时需要仔细考虑.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 系统性审查和元分析
背景情况:
- 前肩部不稳定是一个常见的骨科问题.
- 拉达喷气手术是一种针对复发性前肩部不稳定的手术选择.
- 预先存在的性疾病 (SDs) 对Latarjet手术结果的影响需要调查.
研究的目的:
- 与对照组相比,系统地审查和综合Latarjet手术在患有性疾病 (SDs) 的患者的临床结果.
- 确定SD和对照组之间的比较疗效和并发症率.
主要方法:
- 在PubMed,Embase和Scopus中使用PRISMA指南进行了系统的文献搜索.
- 包括了比较Latarjet手术结果的研究,这些研究是对先前存在SD的患者和对照患者进行的.
- 使用RevMan进行了一项元分析,以比较临床结果.
主要成果:
- 分析了包括237个肩膀在内的5项研究.
- 这两组在Latarjet后都显示出功能得分 (Rowe,ASES) 的改善,但对照组的Rowe得分明显更高.
- 与对照组相比,SD组的复发率 (11.2%对2.5%) 和修订率 (14.3%对0.01%) 显著增加.
结论:
- 预先存在的发作疾病与拉塔喷气手术后的术后复发和修订率显著增加有关.
- 与Latarjet后的对照组相比,患有SD的患者报告功能结果较差.
- 在管理前肩部不稳定性时,SDs的存在应该是关键考虑因素.
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