对于阿基里斯肌修复的迷你开放技术的结果:更新的系统审查
Jimmy Wen1, Mouhamad Shehabat2, Daniel I Razick2
1Physical Medicine and Rehabilitation, California Northstate University College of Medicine, Elk Grove, USA.
Cureus
|May 7, 2025
概括
迷你开放阿基里斯肌修复 (ATR) 提供高回归活动率和优秀的患者结果. 这种手术方法提供了可靠的功能结果,与开放式修复相比,感染等并发症较少.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 急性阿基里斯肌破裂是一种常见的伤害,有争议的最佳治疗策略.
- 手术修复的选择包括开放式,穿皮式和迷你开放式技术.
- 评估小型开放性阿基里斯肌修复 (ATR) 的结果对于临床决策至关重要.
研究的目的:
- 系统地审查和评估小型开放ATR后的结果.
- 评估恢复活动 (RTA),并发症率和患者报告的结果 (PRO).
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在三个数据库中搜索了关于迷你开放ATR的报告研究.
- 提取了关于患者人口统计,随访,RTA,恢复体育 (RTS),恢复工作 (RTW),PRO和并发症的数据.
主要成果:
- 包括25项研究,涉及957名患者 (平均年龄为39.34岁).
- 观察到高RTA (96.46%),RTS (92.7%) 和RTW (100%) 的比率.
- 报告的优秀的PRO得分为:95.5 (AOFAS),90.3 (ATRS),3.35 (VAS疼痛).这些都是最好的.
- 整体并发症率为8.05%,外围神经损伤率低 (1.67%) 和复发 (1.25%).
结论:
- 迷你开放ATR显示高功能恢复和优秀的患者满意度.
- 这种技术是可靠的,提供了与开放修复相似的结果.
- 迷你开放修复可能在减少感染和伤口愈合并发症方面提供优势.
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