肌急性破裂的修复技术:一个系统的审查
Gaston Davis1, Harrison S Fellheimer2, Christian McCormick2
1Rothman Orthopaedic Institute, Thomas Jefferson University, Bryn Mawr, Pennsylvania, USA.
Orthopaedic journal of sports medicine
|January 12, 2026
概括
使用针,横骨或端到端的技术手术修复急性骨肌破裂显示出高的愈合率. 大多数方法提供良好的功能结果,并发症风险低,主要是伤口感染.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 急性状肌撕裂需要手术干预,以实现膝盖延伸机制的最佳功能.
- 切骨肌破裂的及时手术修复通常会带来最好的患者结果.
研究的目的:
- 系统地审查和评估治疗结果和并发症率.
- 为了比较针修复,穿骨修复和急性骨肌破裂的端到端修复.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在Cochrane,PubMed和Embase搜索1980年至2024年的研究.
- 包括关于急性状肌破裂的研究,不包括慢性撕裂或全膝关节关节整形术后的病例.
主要成果:
- 分析了20项涉及1161名患者的研究.
- 穿骨修复显示了高的Lysholm分数 (84-98.08).
- 针修复报告了优秀的曲 (>130°) 没有并发症.
- 端到端的修复也实现了>130°的曲,伤口感染是主要的并发症.
- 对比研究显示了显著的功能改善;常见的并发症包括重裂,感染和DVT.
结论:
- 针,穿骨和端到端的修复表明,急性肌破裂的愈合率很高.
- 大多数外科手术技术提供了良好的功能效果和低风险的并发症.
- 伤口并发症和感染是修复方法中最常见的不良事件.
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