在前十字关节重建中侧侧外关节形的指示:系统性审查
Jan Zabrzyński1, Adam Kwapisz2,3, Jakub Erdmann1
1Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
The American journal of sports medicine
|February 4, 2025
概括
本系统性审查确定了前十字带 (ACL) 重建中的侧向外关节形术 (LET) 的关键指示. 常见的原因包括高风险运动,阴茎修复和显著的轴转移松,改善膝盖稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 前交叉带 (ACL) 对于膝盖的稳定性至关重要,特别是在松平面.
- 虽然ACL重建解决了前部松,但内部旋转不稳定性往往持续存在.
- 侧向外关节形术 (LET) 是一种用于管理旋转不稳定的技术,但其具体指示仍然不清楚.
研究的目的:
- 在与前十字带 (ACL) 重建同时进行时,系统地审查文献,以描述侧向外关节缩 (LET) 的指示.
- 为了解决关于LET使用的最终指导方针的短缺问题.
主要方法:
- 对1999年至2023年间发表的研究进行了系统审查.
- 在主要数据库 (PubMed,Cochrane,ScienceDirect,Web of Science,Embase) 中使用相关的关键词进行了搜索.
- 纳入标准集中在英语临床研究 (证据水平1-4),不包括非临床或不完整的数据.
主要成果:
- 该审查分析了29篇文章,主要是回顾性研究 (n=21),有一些前性 (n=8) 和1级证据 (n=4).
- 最常见的LET指标是高风险运动参与 (16篇文章),并发的中间阴茎修复/切割 (11篇文章) 和显著的轴转移松 (2级和3级,11篇文章).
结论:
- 与ACL重建相结合的侧侧额外关节延展 (LET) 与减少旋转,改善临床结果和更低的修订率有关.
- 文献支持的关键征兆包括阴茎手术,高需求的体育活动,以及中度至严重的轴转移不稳定性.
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