旋转手套维修中的结构增强降低了重复的风险:系统性审查和元分析.
Danielle Dagher1, Darshil Shah2, Colin Kruse2
1Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
旋转手套修复 (RCR) 的结构增强显著降低了回转率,特别是在使用全移植时. 然而,这种方法并不能改善患者报告的全厚旋转手套撕裂个体的短期结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
背景情况:
- 旋转手套撕裂很普遍,导致严重的肩部疼痛和功能缺陷.
- 标准旋转手腕修复 (RCR) 后的高回形率需要改进的治疗策略.
- 结构增强正在越来越多地被探索,以提高RCR结果并减少滞留的发生率.
研究的目的:
- 系统地审查和元分析结构增强的临床和成像结果与全厚旋转手套撕裂的标准RCR.
- 在RCR程序中比较不同结构增强子类型的有效性.
主要方法:
- 在CENTRAL,Embase和Medline数据库中进行了全面的文献搜索.
- 包括比较试验,评估可修复全厚撕裂的RCR结构增强.
- 用随机效应模型进行了元分析,根据研究设计和增强类型对子组进行了分析.
主要成果:
- 分析了24项涉及生物增强剂的研究 (12项RCT,12项队列研究).
- 与标准RCR相比,结构增强可减少35%的复发风险 (RR,0.65;P = .01).与标准RCR相比,结构增强可减少35%的复发风险.
- 整体移植增强显示了最大降低的复发率 (RR,0.34). 没有观察到患者报告结果的显著差异.
结论:
- 在RCR中的结构增强显著降低了留存率,其中allografts特别有效.
- 通过结构增强,患者报告的短期结果没有显著改善.
- 需要进一步的研究来确定影响增强疗效的患者和撕裂特征.
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