腘绳肌腱取材过程中隐神经髌下支发生医源性损伤的风险：一项荟萃分析。
Risk of iatrogenic injury to the infrapatellar branch of the saphenous nerve during hamstring tendon harvesting: A meta-analysis.
作者信息
Pękala Przemysław A, Tomaszewski Krzysztof A, Henry Brandon Michael, Ramakrishnan Piravin Kumar, Roy Joyeeta, Mizia Ewa, Walocha Jerzy A
机构信息
International Evidence-Based Anatomy Working Group, Krakow, Poland.
Department of Anatomy, Jagiellonian University Medical College, 12 Kopernika St, 31-034, Krakow, Poland.
出版信息
Muscle Nerve. 2017 Nov;56(5):930-937. doi: 10.1002/mus.25587. Epub 2017 Apr 29.
INTRODUCTION
Our goal was to conduct a comprehensive analysis of studies reporting data on the rate of injury to the infrapatellar branch of the saphenous nerve following hamstring tendon graft harvesting with respect to the type of incision over the pes anserinus.
METHODS
A broad search through all major electronic databases was conducted to identify articles eligible for inclusion. All available data were extracted and pooled into the analysis.
RESULTS
Eleven studies (n = 1,050 patients) were included in the meta-analysis. The study revealed that a vertical incision during hamstring tendon harvesting over the pes anserinus was associated with the highest rate of injury with a pooled rate of 51.4% (95% confidence interval [CI], 34.6-67.2%). This was followed by oblique and horizontal incisions with pooled rates of 26.0% (95% CI,1.3-61.3%) and 22.4% (95% CI, 5.4-45.5%), respectively.
CONCLUSIONS
We highly recommend the use of the shortest possible oblique incision during hamstring tendon harvesting over the pes anserinus. Muscle Nerve 56: 930-937, 2017.
引言
我们的目标是对有关在鹅足处采用不同切口进行腘绳肌腱移植取材时隐神经髌下支损伤率数据的研究进行全面分析。
方法
通过对所有主要电子数据库进行广泛检索，以确定符合纳入标准的文章。提取所有可用数据并汇总到分析中。
结果
荟萃分析纳入了11项研究（n = 1050例患者）。研究表明，在鹅足处进行腘绳肌腱取材时采用垂直切口，损伤率最高，合并率为51.4%（95%置信区间[CI]，34.6 - 67.2%）。其次是斜切口和水平切口，合并率分别为26.0%（95%CI，1.3 - 61.3%）和22.4%（95%CI，5.4 - 45.5%）。
结论
我们强烈建议在鹅足处进行腘绳肌腱取材时使用尽可能短的斜切口。《肌肉与神经》56: 930 - 937, 2017年。
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