Paulino Pereira Nuno Rui, van der Linde Just A, Alkaduhimi Hassanin, Longo Umile Giuseppe, van den Bekerom Michel P J
1Massachusetts General Hospital, Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA.
2Onze lieve Vrouwe Gasthuis Amsterdam, Orthopaedic Research Center, Amsterdam, The Netherlands.
Shoulder Elbow. 2018 Apr;10(2):75-86. doi: 10.1177/1758573217728290. Epub 2017 Sep 11.
The primary aim of the present study was to review, summarize and compare the redislocation risk for collision athletes and noncollision athletes after an open Bristow-Latarjet procedure. Our secondary aim was to summarize return to sport, satisfaction, pain and complications.
We conducted a systematic review in PubMed and EMBASE of articles until 1 July 2016. We included all studies describing Bristow-Latarjet like procedures as a result of glenohumeral instability, mentioning redislocation rates in collision athletes with >2 years of follow-up. We pooled the data using random-effects meta-analysis for redislocation risk-differences (RD) between collision and noncollision athletes, and assessed heterogeneity with and Tau tests.
From 475 titles and abstracts, 11 studies were included and eight studies were meta-analyzed. The pooled RD to develop a postoperative redislocation between collision athletes and noncollision athletes was -0.00 (95% confidence interval: -0.03 to 0.03, = 0.370). Return to sports rates were high (67-100%), and patients reported high satisfaction scores (93-100% satisfied) and low pain scores (mean visual analogue scale score of 1.6); however, postoperative complication rates varied from 0.8% to 19.2%.
Collision athletes are not more at risk for redislocation rates after an open Bristow-Latarjet procedure compared to noncollision athletes. Overall postoperative outcomes were good, although numerous complications occurred.
本研究的主要目的是回顾、总结和比较开放性布里斯托-拉塔热手术（Bristow-Latarjet procedure）后，从事对抗性运动的运动员与非对抗性运动的运动员发生再脱位的风险。我们的次要目的是总结恢复运动情况、满意度、疼痛和并发症。
我们在PubMed和EMBASE数据库中对截至2016年7月1日的文章进行了系统综述。我们纳入了所有描述因肩肱关节不稳而进行类似布里斯托-拉塔热手术的研究，这些研究提及了随访超过2年的对抗性运动运动员的再脱位率。我们使用随机效应荟萃分析来汇总数据，以分析对抗性运动运动员与非对抗性运动运动员之间再脱位风险差异（RD），并通过I²和Tau检验评估异质性。
从475篇标题和摘要中，纳入了11项研究，其中8项研究进行了荟萃分析。对抗性运动运动员与非对抗性运动运动员术后发生再脱位的汇总风险差异为-0.00（95%置信区间：-0.03至0.03，I² = 0.370）。恢复运动的比例较高（67%-100%），患者报告的满意度得分较高（93%-100%满意），疼痛得分较低（平均视觉模拟量表评分为1.6）；然而，术后并发症发生率在0.8%至19.2%之间。
与非对抗性运动运动员相比，开放性布里斯托-拉塔热手术后，对抗性运动运动员发生再脱位的风险并不更高。尽管出现了许多并发症，但总体术后结果良好。
