稳定膝关节孤立内侧半月板修复术的失败率:系统回顾和荟萃分析。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Luca Farinelli, Amit Meena, Davide Montini, Mohit Kumar Patralekh, Giuseppe Piritore, Marco Grassi, Antonio Gigante, Christian Hoser, Christian Fink, Sachin Tapasvi
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引用次数: 0

摘要

目的:本荟萃分析旨在确定稳定膝关节患者内侧半月板修复术的疗效和失败率:使用 PubMed 和 Scopus 以"(内侧半月板或内侧半月板)和(修复)"为关键词进行文献检索。检索策略以 PRISMA(系统性荟萃分析首选报告项目)协议为基础,共纳入 93 篇经评估合格的文章。检索标准仅限于报告结果和失败率的研究。排除标准包括英语以外的语言、生物力学研究、致编辑的信、非全文、综述文章、荟萃分析和病例报告:结果:共纳入 10 项研究,595 名患者。退行性撕裂或报告半月板根部修复、翻修或初次前交叉韧带重建、盘状半月板或斜坡病变的半月板修复结果的研究被排除在外。所有研究都将翻修手术和/或临床症状作为失败定义。内侧半月板修复的总体失败率为26%,95%置信区间(CI)为[15%-37%]。孤立的内侧半月板修复手术失败的平均时间为27.7个月,95%置信区间为[18.5-36.9个月]。三篇文章报告了术后Lysholm和IKDC评分。最后随访时,术后Lysholm和IKDC评分的平均值分别为92.3分(95% CI [84.5-100])和88.6分(95% CI [83.5-93.8]):当前的荟萃分析表明,在膝关节稳定的情况下进行内侧半月板修复的总体失败率为 26%。因此,患者应意识到翻修手术的巨大风险(每四例中就有一例)。在稳定的膝关节中进行内侧半月板修复术取得了良好的临床效果:证据等级:II。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Failure rate of isolated medial meniscus repair in the stable knee: Systematic review and meta-analysis.

Purpose: The present meta-analysis aims to determine the outcomes and failure rates for medial meniscus repairs in patients with stable knees.

Methods: A literature search was conducted using PubMed and Scopus with the terms '(medial meniscus OR medial meniscal) AND (repair)'. The search strategy was based on the PRISMA (Preferred Reporting Items for Systematic Meta-Analyses) protocol and included 93 articles assessed for eligibility. The search criteria were limited to studies reporting outcomes and failure rates. The exclusion criteria included languages other than English, biomechanical studies, letters to editors, non-full text, review articles, meta-analyses and case reports.

Results: In total, 10 studies with 595 patients were included. Degenerative tears or studies reporting meniscus repair outcomes on root repairs, revision or primary anterior cruciate ligament reconstruction, discoid menisci or ramp lesions were excluded. All studies included revision surgery and/or clinical symptoms as failure definitions. The overall medial meniscal repair failure rate was 26% with a 95% confidence interval (CI) [15%-37%]. The mean time to failure from isolated medial meniscus repair surgery was 27.7 months with 95% CI [18.5-36.9 months]. The postoperative Lysholm and IKDC scores were reported in three articles. At the final follow-up, the mean postoperative Lysholm and IKDC scores were 92.3 with 95% CI [84.5-100] and 88.6 with 95% CI [83.5-93.8], respectively.

Conclusion: The current meta-analysis revealed an overall failure rate of 26% in the case of medial meniscus repair in a stable knee. For these reasons, the patient should be aware of the substantial risk of revision surgery (one out of four cases). Medial meniscus repair in a stable knee yielded good clinical results.

Level of evidence: II.

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CiteScore
7.20
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