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社论评论:从臀部还是从货架上取?对肩袖上囊重建自体移植物和同种异体移植物作为移植物来源的分析。

Editorial Commentary: Off the Hip or Off the Shelf? An Analysis of Autograft and Allograft as a Graft Source for Shoulder Superior Capsular Reconstruction.

出版信息

Arthroscopy. 2020 Feb;36(2):592-593. doi: 10.1016/j.arthro.2019.10.031.

Abstract

Superior capsular reconstruction can effectively relieve pain and improve function in the rotator cuff-deficient shoulder, but the optimal graft has not been determined. Multiple authors have demonstrated the effectiveness of the procedure, but bias and heterogeneity between studies do not allow valid comparative analysis of graft type. Until we can adequately compare outcomes, complications, or survival, graft availability and cost may be the greatest determinants of graft selection.

摘要

肩袖缺损患者行上方盂唇增强术(Superior capsular reconstruction,SCR)可有效缓解疼痛、改善功能,但最佳移植物尚未确定。多位作者已证实该术式有效,但研究间存在偏倚和异质性,无法对移植物类型进行有效的对比分析。在无法充分比较结局、并发症或存活率的情况下,移植物的可获得性和成本可能是决定移植物选择的最大因素。

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