导致阿基里斯肌重裂的因素:系统性审查
Abimbola O Kolawole1, Temidun O Kolawole2, Robert H Ablove3
1Medicine, Central Michigan University College of Medicine, Mount Pleasant, USA.
Cureus
|January 26, 2026
概括
影响阿基里斯肌重裂的因素是复杂的. 这次审查没有发现单一的优质治疗方法,早期的功能康复与急性阿基里斯肌破裂 (ATR) 中的再破裂风险增加没有明确联系.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 急性阿基里斯肌破裂 (ATR) 是活跃成人的常见伤害.
- 由于研究设计和结果定义的多样性,ATR后重新破裂的预测因素报告不一致.
研究的目的:
- 系统地审查与阿基里斯肌重裂相关的治疗策略和患者因素.
- 由于现有研究的实质性异质性,提供证据的叙事综合.
主要方法:
- 按照PRISMA 2020指南,对PubMed,科学网,CINAHL和科克兰图书馆 (2004-2024) 的系统搜索.
- 包括在成年人中急性ATR后报告重新破裂的研究,评估基线特征,治疗或康复.
- 数据的叙述综合和由于异质性的数值范围的描述性报告;使用NIH工具进行质量评估.
主要成果:
- 包括11项研究 (44,557名患者),显示不同治疗方法的复发率存在很大差异.
- 没有单一的修复方法始终优越;像Tenolig这样的特定技术在小型的非随机研究中具有更高的比率.
- 早期的承重和功能康复没有显示出明显的关联与增加的重裂,尽管协议有所不同.
结论:
- 阿基里斯肌重裂是多因素的,涉及患者和治疗特征.
- 目前的证据并不支持ATR的一种当代修复策略而不是另一种.
- 当在结构化的协议中实施早期功能康复时,似乎是安全的,但对未来的研究需要一致的报告.
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