半月板文献的最新综述：系统评价与荟萃分析的系统总结

An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses.

作者信息

Smoak Jason B, Matthews John R, Vinod Amrit V, Kluczynski Melissa A, Bisson Leslie J

机构信息

Department of Orthopaedics, Jacobs School of Medicine and Biomedical Science, University at Buffalo, Buffalo, New York, USA.

出版信息

Orthop J Sports Med. 2020 Sep 9;8(9):2325967120950306. doi: 10.1177/2325967120950306. eCollection 2020 Sep.

DOI:10.1177/2325967120950306

PMID:32953923

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7485005/

Abstract

BACKGROUND

A large number of systematic reviews and meta-analyses regarding the meniscus have been published.

PURPOSE

To provide a qualitative summary of the published systematic reviews and meta-analyses regarding the meniscus.

STUDY DESIGN

Systematic review; Level of evidence, 4.

METHODS

A systematic search of all meta-analyses and systematic reviews regarding the meniscus and published between July 2009 and July 2019 was performed with PubMed, CINAHL, EMBASE, and the Cochrane database. Published abstracts, narrative reviews, articles not written in English, commentaries, study protocols, and topics that were not focused on the meniscus were excluded. The most pertinent results were extracted and summarized from each study.

RESULTS

A total of 332 articles were found, of which 142 were included. Included articles were summarized and divided into 16 topics: epidemiology, diagnosis, histology, biomechanics, comorbid pathology, animal models, arthroscopic partial meniscectomy (APM), meniscal repair, meniscal root repairs, meniscal allograft transplantation (MAT), meniscal implants and scaffolds, mesenchymal stem cells and growth factors, postoperative rehabilitation, postoperative imaging assessment, patient-reported outcome measures, and cost-effectiveness. The majority of articles focused on APM (20%), MAT (18%), and meniscal repair (17%).

CONCLUSION

This summary of systematic reviews and meta-analyses delivers surgeons a single source of the current evidence regarding the meniscus.

摘要

背景

关于半月板的大量系统评价和荟萃分析已发表。

目的

对已发表的关于半月板的系统评价和荟萃分析进行定性总结。

研究设计

系统评价；证据等级，4级。

方法

使用PubMed、CINAHL、EMBASE和Cochrane数据库，对2009年7月至2019年7月期间发表的所有关于半月板的荟萃分析和系统评价进行系统检索。排除已发表的摘要、叙述性综述、非英文撰写的文章、评论、研究方案以及未聚焦于半月板的主题。从每项研究中提取并总结最相关的结果。

结果

共找到332篇文章，其中142篇被纳入。纳入的文章被总结并分为16个主题：流行病学、诊断、组织学、生物力学、合并病理、动物模型、关节镜下部分半月板切除术（APM）、半月板修复、半月板根部修复、半月板同种异体移植（MAT）、半月板植入物和支架、间充质干细胞和生长因子、术后康复、术后影像学评估、患者报告的结局指标以及成本效益。大多数文章聚焦于APM（20%）、MAT（18%）和半月板修复（17%）。