在旋转手套维修中使用补丁增大:系统审查协议
Victor Peyneau Poncio1, Bianca Carolina Bankhardt da Silva1, Fabio Teruo Matsunaga1
1Departament of Orthopedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Revista brasileira de ortopedia
|January 1, 2026
概括
本系统性审查评估了在旋转手腕修复中移植的使用情况. 调查结果将澄清移植是否与标准修复或其他移植类型相比改善愈和肩部功能.
科学领域:
- 整形外科手术 整形外科手术
- 再生医学是一种再生医学.
- 基于证据的医学基于证据的医学.
背景情况:
- 旋转手套撕裂是常见的,影响肩膀功能和生活质量.
- 手术修复的目的是恢复功能,正在探索移植增强以增强愈合.
- 移植与标准修复和不同类型的移植的相对有效性仍然不清楚.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT) 关于在旋转手套修复中使用移植的研究.
- 为了比较植入增强修复与标准修复的有效性.
- 为了评估不同类型的移植材料在旋转手腕修复方面的有效性.
主要方法:
- 根据Cochrane和PRISMA-P指南进行RCT的系统审查和元分析.
- 在 MEDLINE,CENTRAL,Embase 和 SciELO 中进行电子搜索,并补充了灰色文献.
- 评估研究特征,参与者数据,干预措施和结果,包括愈合和肩膀功能.
主要成果:
- 主要结局:旋转的愈合率和肩膀功能评估.
- 二次结果:疼痛,运动范围,不良事件,生活质量和成本效益.
- 使用RoB 2.0评估的偏差风险;用GRADE评估的证据确定性.
结论:
- 巩固当前关于植入强化在旋转手腕修复中的有效性的证据.
- 告知临床决策关于使用移植在手术修复.
- 该审查已在PROSPERO (1106892) 登记.
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