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外侧增强重建系统与改良 Brostrom-Gould 术式:随机对照试验的荟萃分析。

Lateral augmentation reconstruction system versus modified Brostrom-Gould procedure: A meta-analysis of RCTs.

机构信息

Department of Orthopeadic Surgery, Xiangya Hospital Central South University, China; Hunan Engineering Research Center of Biomedical Metal and Ceramic Implants, China.

Department of Orthopeadic Surgery, Xiangya Hospital Central South University, China; Hunan Engineering Research Center of Biomedical Metal and Ceramic Implants, China; Department of Sports Medicine, Xiangya Hospital Central South University, China.

出版信息

Foot Ankle Surg. 2021 Apr;27(3):263-270. doi: 10.1016/j.fas.2020.11.001. Epub 2020 Nov 5.

DOI:10.1016/j.fas.2020.11.001
PMID:33199156
Abstract

BACKGROUND

The aim of this study is to compare the clinical efficacy between the ligament augmentation reconstruction system (LARS) and the modified Brostrom-Gould (MBG) operations in the treatment of chronic ankle instability.

METHODS

We searched the MEDLINE, EMBASE, PubMed, Web of Science, the Cochrane library, and the Clinicaltrial.gov databases for eligible studies. The Review Manager 5.3 software was applied to compare various postoperative functional scoring, ankle stability and complications between the two groups.

RESULTS

Four randomized controlled trials including a total of 209 patients were conducted. No significant difference was found in terms of postoperative FAOS, FAAM, ankle stability and complications between the LARS and MBG group.

CONCLUSIONS

The present meta-analysis suggested that there was no clinical superiority for the LARS operation over the MBG operation for patients with chronic ankle instability.

摘要

背景

本研究旨在比较 LARS 韧带增强重建系统和改良 Brostrom-Gould(MBG)手术治疗慢性踝关节不稳定的临床疗效。

方法

我们检索了 MEDLINE、EMBASE、PubMed、Web of Science、Cochrane 图书馆和 Clinicaltrial.gov 数据库中符合条件的研究。采用 Review Manager 5.3 软件比较两组术后各项功能评分、踝关节稳定性和并发症。

结果

共纳入四项随机对照试验,总计 209 例患者。LARS 组与 MBG 组在术后 FAOS、FAAM、踝关节稳定性和并发症方面无显著差异。

结论

本荟萃分析表明,对于慢性踝关节不稳定患者,LARS 手术与 MBG 手术相比并无临床优势。

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引用本文的文献

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Anatomic reconstruction using the autologous gracilis tendon achieved less sprain recurrence than the Broström-Gould procedure but delayed recovery in chronic lateral ankle instability.解剖重建使用自体股薄肌腱比 Broström-Gould 手术更能减少扭伤复发,但在慢性外侧踝关节不稳定中恢复时间延长。
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Ligament Augmentation Reconstruction System (LARS) for Ankle Lateral Ligament Reconstruction in Higher-Risk Patients: A 5-Year Prospective Cohort Study.
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