手术入路对Morton神经瘤治疗的影响:一项系统综述和荟萃分析。

IF 2.5 3区 医学 Q1 ORTHOPEDICS
Jiayao Zhang, Jing Li, Wufeng Cai, Kaiwen Zheng, Xihao Huang, Xin Rong, Qi Li
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引用次数: 0

摘要

背景:莫顿神经瘤的手术切除包括背部和足底入路。然而,在临床上对方法的选择还没有达成共识。本研究的目的是进行系统回顾和荟萃分析,以比较背部和足底入路的手术结果。方法:于2023年4月26日检索PubMed、Cochrane图书馆、Embase和Web of Science的文献。使用系统评价的首选报告项目和荟萃分析指南进行系统评价。数据是在筛选文献并评估研究中方法的质量后提取的。使用RevMan5.4软件分析和计算OR值和95%置信区间。结果:共发表了7项随机对照试验和比较研究,其中只有5项被纳入。经足底入路158只脚(足底组,PG),经背侧入路189只脚(背侧组,DG)。PG和DG在总体不良事件、感觉问题、切口感染和深静脉血栓形成方面没有显著差异(p > 0.05)。在疤痕问题方面,PG表现出比DG更多(OR,2.90[95%CI,1.40至5.98];p = 0.004)。其他结果指标,如视觉模拟量表(VAS)评分和美国足踝矫形学会(AOFAS)评分,很难纳入比较。结论:基于相对较低的质量和少量的可用证据,进行的荟萃分析提出了一个假设,即Morton神经瘤、背侧入路和足底入路手术治疗中不良事件的发生频率可能相同,但类型不同。需要更高层次的证据来进一步验证这一假设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta-analysis.

Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta-analysis.

Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta-analysis.

Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta-analysis.

Background: Surgical resection of Morton's neuroma includes dorsal and plantar approaches. However, there is no consensus on the choice of approach in clinic. The purpose of this study was to conduct a systematic review and meta-analysis to compare the surgical results of dorsal and plantar approaches.

Methods: The literatures of PubMed, Cochrane library, Embase and Web of Science were searched on April 26th, 2023. A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The data were extracted after screening the literature and evaluating the quality of the methodology included in the study. The RevMan5.4 software was used to analyze and calculate the OR value and 95% confidence interval.

Results: A total of 7 randomized controlled trials and comparative studies were published, of which only 5 were included. There were 158 feet via plantar approach (plantar group, PG) and 189 via dorsal approach (dorsal group, DG). There was no significant difference between PG and DG in overall adverse events, sensory problems, incision infection and deep vein thrombosis (p > 0.05). In terms of scar problems, PG showed more than DG (OR, 2.90[95%CI, 1.40 to 5.98]; p = 0.004). Other outcome indicators such as visual analogue scale (VAS) scores and American Orthopedic Foot and Ankle Society (AOFAS) scores were difficult to be included in the comparison.

Conclusions: Based on the relatively low quality and small amount of available evidence, the meta-analysis conducted produces a hypothesis that the frequency of adverse events in surgical treatment of Morton's neuroma, dorsal approach and plantar approach may be the same, but the types are different. More high-level evidence is needed to further verify this hypothesis.

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来源期刊
CiteScore
4.50
自引率
10.30%
发文量
83
审稿时长
>12 weeks
期刊介绍: Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.
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