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Updated: Jan 24, 2026

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慢性不稳定性硬关节重建后的临床结果和并发症:系统性审查
Utsav Kapoor1, Kevin J Khoo2, Jason E Hsu2
1Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.
The American journal of sports medicine
|January 23, 2026
概括
慢性关节 (SC) 关节不稳定的手术重建显著改善了患者的结果和恢复活动. 复杂性率很低,在各种技术中都是相似的,包括移植类型.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 重建性手术是一种重建性手术.
背景情况:
- 慢性关节 (SC) 关节不稳定是一种罕见的疾病,当保守治疗失败时,通常需要手术干预.
- 关于SC关节重建的现有文献有限,主要由小型病例系列组成.
研究的目的:
- 对手术技术,临床结果和与SC关节重建相关的并发症进行全面的系统审查.
- 评估慢性SC关节不稳定的不同手术方法的有效性.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在PubMed和MEDLINE数据库的文献中搜索关于SC关节重建的研究.
- 对12项涉及164名患者的研究进行了描述性和批判性分析.
主要成果:
- 双皮层重建是最常见的技术 (63%),特别是后部不稳定 (87%).
- 所有技术都在患者报告的结果指标 (PROM) 和高回归活动率 (83%) 中显著改善.
- 单皮质和双皮质技术之间,以及全移植和自移植重建之间,并发症率相似.
结论:
- 脊关节重建有效改善PROM并促进恢复活动,并发症率低,不管技术或移植选择如何.
- 建议进一步进行比较和生物力学研究,以完善SC关节不稳定的手术策略.
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