成人胫骨骨折的治疗和临床结果：系统回顾和荟萃分析。

IF 1.2 4区医学 Q3 ORTHOPEDICS

Orthopedics Pub Date : 2025-05-01 Epub Date: 2025-04-23 DOI:10.3928/01477447-20250415-01

Harmon S Khela, Monty S Khela, Jonathan Jose, Rashad Madi, John D Kelly, Liane Miller

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引用次数: 0

摘要

背景：成人胫骨骨折（TSFs）是罕见的，但可引起显著的发病率。材料和方法：系统回顾了成人tsf的研究。采用描述性统计和荟萃分析对患者人口统计学、骨折特征、手术细节、结局和并发症进行分析。结果：纳入28项研究（691例）。大多数骨折为III型，采用关节镜下缝合或螺钉治疗。骨折类型无明显差异。与螺钉相比，缝合固定具有更好的功能评分和更少的并发症。结论：骨折类型和固定方法均无明确优势。需要进一步的研究来确定最佳的治疗方法。[矫形手术。48 2025;(3): 174 - 187。]。

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Treatment and Clinical Outcomes of Tibial Spine Fractures in Adults: A Systematic Review and Meta-Analysis.

Background: Adult tibial spine fractures (TSFs) are rare but can cause significant morbidity.

Materials and methods: A systematic review identified studies on adult TSFs. Patient demographics, fracture characteristics, surgical details, outcomes, and complications were analyzed using descriptive statistics and meta-analysis.

Results: Twenty-eight studies (691 cases) were included. Most fractures were type III, treated arthroscopically with sutures or screws. Fracture type showed no significant differences in outcomes. Suture fixation yielded better functional scores and fewer complications than screws.

Conclusion: No definitive advantage was observed for either fracture type or fixation method. Further research is needed to establish optimal treatments. [Orthopedics. 2025;48(3):174-187.].

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来源期刊

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.