比较钛缆与螺钉固定治疗下胫腓联合损伤的疗效：一项Meta分析
To compare the efficacy between fixation with tightrope and screw in the treatment of syndesmotic injuries: A meta-analysis.
作者信息
Chen BaiHang, Chen Chao, Yang ZeTian, Huang PeiZhen, Dong Hang, Zeng ZhanPeng
机构信息
Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, PR China.
Guangzhou University of Traditional Chinese Medicine, Department of Orthopaedic, Affiliated Hospital 1, Guangzhou 510405, Guangdong, PR China.
出版信息
Foot Ankle Surg. 2019 Feb;25(1):63-70. doi: 10.1016/j.fas.2017.08.001. Epub 2017 Aug 18.
BACKGROUND
To compare the efficacy between fixation with suture-button and screw in the treatment of syndesmotic injuries: a meta-analysis.
METHODS
We comprehensively searched PubMed, Embase, and the Cochrane Library and performed a meta-analysis of randomized controlled trials (RCTs) and retrospective comparative studies (RTCs). We performed using Review Manager 5.2.
RESULTS
Three RCTs and six retrospective studies were conducted, including a total of 397 patients. The significant differences of the fixation of suture-button were reported for AOFAS scores (at 3, 6 and 12 months follow-up), full-weight time, reoperation, malreduction and the rate of failure of fixation. There were no significant differences between the groups regarding complications of infection, VAS, OMAS, range of motion, TFCS, TFO and MCS.
CONCLUSIONS
Neither the functional outcome nor complications significantly differed between the fixation methods, but suture-button might lead to a quicker return to work. This analysis needs to be confirmed and updated by larger sample data and rigorously designed RCTs.
背景
比较缝线纽扣与螺钉固定治疗下胫腓联合损伤的疗效：一项荟萃分析。
方法
全面检索PubMed、Embase和Cochrane图书馆，并对随机对照试验（RCT）和回顾性比较研究（RTC）进行荟萃分析。使用Review Manager 5.2进行分析。
结果
共纳入3项RCT和6项回顾性研究，总计397例患者。缝线纽扣固定在AOFAS评分（随访3、6和12个月时）、完全负重时间、再次手术、复位不良和固定失败率方面存在显著差异。两组在感染并发症、VAS、OMAS、活动范围、TFCS、TFO和MCS方面无显著差异。
结论
两种固定方法在功能结局和并发症方面均无显著差异，但缝线纽扣固定可能使患者更快恢复工作。该分析需要通过更大样本数据和严格设计的RCT进行确认和更新。
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