急性阿基勒斯肌破裂的手术治疗与保守治疗:系统性审查和元分析
Zhitao Yang1, Zhaogang Ge1, Jiang Zheng1
1Department of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Journal of orthopaedic surgery and research
|July 8, 2025
概括
急性阿基勒斯肌破裂 (AATR) 的手术治疗可以降低再次破裂的风险,并改善恢复运动率. 然而,保守的管理为神经损伤和感染提供了较低的并发症率. 富血小板血 (PRP) 没有显示任何额外的益处.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物材料是一种生物材料.
背景情况:
- 急性阿基里斯肌破裂 (AATR) 是一种常见的体育伤害,最佳治疗策略仍在争论中.
- 将手术与保守方法进行比较对于患者的治疗结果至关重要.
研究的目的:
- 为了比较AATR的手术和保守治疗的有效性.
- 评估富血小板血 (PRP) 对AATR临床结果的影响.
主要方法:
- 随机对照试验和观察性研究的系统审查和元分析.
- 在PubMed,科学网,Embase和Cochrane图书馆搜索到2025年4月.
- 分析了复发率,恢复运动,并发症 (感染,神经损伤) 和阿基里斯肌总破裂评分 (ATRS).
主要成果:
- 手术治疗显示了较低的复发率 (RR 0.44) 和更高的体育回归率 (RR 1.32).
- 保守治疗导致感染率降低 (RR 2.54减少) 和神经损伤率降低 (RR 3.67减少).
- 在其他并发症或ATRS得分方面没有发现显著差异;PRP没有产生额外的益处.
结论:
- 对AATR的手术干预有效地降低了复发的风险,并提高了恢复体育运动的速度.
- 保守的管理与神经损伤和感染等并发症的减少有关.
- 富血小板血 (PRP) 似乎没有改善AATR的临床或功能结果,无论治疗类型如何.
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