症状附属 navicular 的操作管理: 一个系统的审查
Alan P Samsonov1, James J Butler1, Kishore Konar1
1New York University Langone Health, New York University Langone Orthopedic Hospital, New York, New York.
Foot & ankle specialist
|September 25, 2025
概括
对辅助 navicular (AN) 的手术干预产生了令人满意的结果,手术是推的技术. 其他方法显示较高的并发症或非联合率,表明需要进一步对AN治疗进行比较研究.
科学领域:
- 整形外科手术 整形外科手术
- 足部外科手术 足部外科手术
- 系统审查和元分析.
背景情况:
- 附属 navicular (AN) 是一个常见的足部疾病,需要进行手术.
- 评估AN的外科结果对于指导临床实践至关重要.
研究的目的:
- 系统地审查和评估辅助 navicular (AN) 的手术干预后的结果.
主要方法:
- 对Medline,Embase和Cochrane图书馆数据库进行系统审查.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括报告AN外科手术管理结果的研究.
主要成果:
- 分析了23项涉及625名接受AN手术的患者的研究.
- 手术是最常见的 (51.9%),其次是简单切除 (21.5%).
- 所有手术都显示出类似的主观改善,但脏有11%的并发症,而关节切除有25%的并发症和3%的失败. 穿透皮肤钻探的非工会率为42%.
结论:
- 对症状辅助 navicular (AN) 的手术治疗提供了良好的临床和放射学结果.
- 推进行脏手术,因为其结果优异,并发症率中等.
- 由于高的非结合率或失败率,不建议进行关节切除,关节修复和穿皮钻探,这凸显了需要高质量的比较研究.
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